Rare TEVAR Procedure in an Octogenarian lady- Dr.Padhi

One of the rare and most risky case of TEVAR successfully performed by NH MMI Narayana Superspeciality Hospital’s cardiology team

Thoracic Endovascular Aortic Repair (TEVAR) is a procedure to treat an aneurysm in the aorta (largest artery). An aneurysm is a weak,bulging area in the aortic wall. If it bursts or ruptures, it can be deadly.NH MMI Narayana Superspeciality Hospital, Raipur is one of the few hospital in India to successfully perform this kind of procedure.

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One of the rare and most risky case of TEVAR successfully performed by NH MMI Narayana Superspeciality Hospital’s cardiology team was of an 82-year-old lady,with history of hypertension.

Patient approached NH MMI Narayana Superspeciality Hospital,Raipur with a trouble of huge amount of blood in cough (large hemoptysis).Dr.Sumanta Shekhar Padhi (Consultant Interventional Cardiologist) said she was further investigated which confirmed that her thoracic aorta was dilated and was rupturing into airways (aneurysm of descending thoracic aorta penetrating to inferior branch of left bronchus).

Expert team of Cardiologists at NH MMI Narayana Superspeciality Hospital begin the treatment with blood transfusion to stabilize her,keeping in mind the age and medical history of the patient including hypertension.After she was stabilized,the procedure began for closure of dilated thoracic aorta and Fistula,which is the abnormal connection between the aorta and the left Lung (Bronchus). With a team approach headed by Dr.Sumanta Shekhar Padhi and assisted by Dr.Kinjal Bakshi,Dr.Nitin Kumar Rajput (CTVS),Dr.Arun Adappan (Cardiac Anaesthetist) the procedure was successfully done on 20th of June. The patient was stabilized again after the procedure.The bleeding was no longer a problem and she was discharged 4th day after the procedure. She is now leading a good life.

The patient showed immense gratitude towards Dr.Sumanta Shekhar Padhi (Consultant Interventional Cardiologist) and the entire cardiology team,saying “Hypertension and my age were both factors increasing the risk. My family was really scared, and I was not so sure of what will happen next.But thanks to Dr.Padhi and the entire cardiology team who made my life better.”

Dr.Sumanta Shekhar Padhi (Consultant Interventional Cardiologist) says “The procedure was deemed very high risk because of the Age, significant tortuosity of the access and heavily calcified vessel.Hypertension is one of the common causes of this disease. But I have always had faith in my team, and we made it.”

Mr.Naveen Sharma (Facility Director, NH MMI Narayana Superspeciality Hospital,Raipur)congratulated the Cardiology team “She was the oldest person to undergo such procedure in the state, this is proud moment for all of us as we are able to serve our purpose so well.TEVAR and TAVI are in the list of rare and most risky procedures to carry out,which were only performed in metro cities but now NH MMI Narayana Superspeciality Hospital,Raipur have successfully achieved the excellence and is doing this type of procedures.Such kind of procedure needs meticulous planning at each stage and flawless execution of each step.I congratulate the entire cardiology team and specially to Dr.Sumanta Shekhar Padhi for practicing such teamwork and making this difficult case successful.”

About NH MMI Narayana Superspeciality Hospital

Narayana Health took over the management of MMI Hospitals in August 2011 to provide affordable,high quality healthcare to the people of Raipur and Chhattisgarh add extra care and nurture.The NH MMI Narayana Superspeciality Hospital,Raipur came into existence when the earlier hospital was transformed by incorporating state-of-the-art equipment and facilities with modernized operation theatres as well as the best of clinical talent.Set amidst one of the most tranquil locations in Raipur,the hospital makes it an ideal place to recover and rejuvenate faster.

NH MMI Narayana Superspeciality Hospital,Raipur was acquired with a vision to provide the best infrastructure and technology to help doctors to serve the best to the patients at an affordable cost,without having them to travel to metros for their healthcare needs.To ensure that the hospital is at par with the top hospitals in central India,best practices followed by the Narayana Health group management practices,standard operating procedures, quality of staff and service as well as infrastructure were implemented in this hospital.

About Narayana Health Group

With all super-speciality tertiary care facilities that the medical world offers, Narayana Health is now a one-stop healthcare destination for all.From the first facility established in Bengaluru with approximately 225 operational beds in 2000,our Company has grown to 54 facilities (which includes 53 facilities in India and 1 facility in the Cayman Islands operated by our Company’s associate company,Health City Cayman Islands Ltd.) with 5300 operational beds with a potential to reach over 6600 beds.Our Company has a network of 23 hospitals (multispeciality and superspeciality healthcare facilities which provide tertiary care services),7 heart centres (superspeciality units which are set up in a third party hospital) and 23 primary care facilities (including clinics and information centres),across a total of 18 cities in India.

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