Indraprastha Apollo Hospital doctors perform complex Aortic surgery on 55-year-old man
New Delhi: Indraprastha Apollo Hospitals, announced a remarkable success story in the treatment of a life-threatening medical emergency.
A 55-year-old Indian citizen, while vacationing in Bali, Indonesia, was diagnosed with NSTEMI (non-ST-elevation myocardial infarction), acute renal failure, and Stanford Type A Aortic Dissection, a condition with a mortality risk of nearly 30-40% at the time of occurence, as with each passing hour that the patient delays surgery, the risk increases by 1 to 2%.
Apollo's emergency team ensured the patient's safe transfer via air ambulance, with meticulous monitoring of his condition during the journey. Upon reaching Delhi, a well-coordinated effort, including assistance from Delhi Police and aviation authorities, along with a designated green corridor, facilitated a seamless transition to Apollo Hospitals.
Upon admission the patient's aortic valve was completely damaged and the aorta was torn from the inside jeopardizing blood flow to the coronary arteries. Under the expert care of Apollo's aortic team, led by Dr. Niranjan Hiremath, the patient underwent an extensive eight-hour surgical procedure to reconstruct the damaged aorta, aortic valve and adjoining arteries.
With comprehensive post-operative ICU care, the patient was quickly weaned off ventilation support after surgery, recovered well with no complications, and was discharged 6 days later. His kidneys, coronaries and other organ functions were reported normal after surgery. This smooth progress shows what can be achieved when complex surgeries are performed at dedicated, multi-disciplinary facilities such as the Apollo Aortic Program with robust protocols, infrastructure and specialist talent.
On this remarkable achievement Dr. Priyadarshani Pal Singh, Head of Emergency, Indraprastha Apollo Hospitals, New Delhi said, " Every emergency is a demanding precision, compassion, and unwavering dedication.
Being part of this life-saving journey exemplifies the essence of our profession – to provide hope and healing in moments of crisis. At Indraprastha Apollo Hospitals, we prioritize swift action and seamless coordination to ensure the best possible outcome for our patients. Our relentless pursuit of patient well-being and seamless coordination ensures that no obstacle stands in the way of delivering life-saving care."
Despite the high-risk nature of the surgery and the critical condition of the patient, the surgery was performed successfully. Dr Niranjan Hiremath, Senior Consultant, Cardiovascular and Aortic Surgery, Surgical Lead, Apollo Aortic Program, Indraprastha Apollo Hospitals, New Delhi says, “ This case presented an intricate medical challenge, particularly given its diagnosis in Bali.
Stanford Type A aortic dissections, though uncommon, pose an extremely grave threat, with mortality rates soaring to 30-40% within 24 hours if left untreated. The swift coordination among diverse medical specialties—cardiology, cardiac surgery, anesthesia, emergency medicine, and transport logistics—was remarkable. From diagnosis to arranging air ambulance transport, the process unfolded with unprecedented speed. Our team executed an arduous 8-hour open heart surgery swiftly upon the patient's arrival, showcasing extraordinary teamwork and efficiency.”
