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Cardiac Assist Device Implantation: A Life Saving Procedure

●       Patient from Iraq with complicated cardiac illness and multi organ problems

●       Cardiac function was only 15%

●       Left Ventricular Assist Device (LVAD) -lifesaving procedure for this patient

                                                                      
  This is the story of a 42 year old male from Iraq who had been diagnosed with diabetes 10 years back. He had a heart attack 3 years back and underwent a cardiac stenting procedure. However because of the heart attack his cardiac muscles became weak leading to reduction in the pumping power of his heart to less than 15%.  This problem severely restricted his physical activities and he had difficulty in performing even the most basic activities of daily living like going to washroom etc. In the last one month his condition further worsened making him unable to have a good sleep at night and even making it difficult to lie down for some time.

The patient was then recommended to opt for Left Ventricular Assist Device (LVAD) implant. LVAD is a battery-operated, mechanical pump that is implanted inside a patient’s chest to help a weakened heart pump blood. It functions like a support that helps heart perform its job. It assists the left chamber of the heart (left ventricle) pump blood out of the ventricle to the aorta and the rest of the body, thereby making the blood circulation normal.

Dr. Julius Punnen, Cardiac Surgeon, Heart & Lung Transplantation and Mechanical Circulatory Support Narayana Superspeciality Hospital added, “Patients who have decompensated heart failure have very poor one year survival and the chances of obtaining a compatible heart donor within a short span of time is very unlikely. The only possible option for these patients is to implant a Left Ventricular assist device (LVAD). The procedure to implant LVAD is complex and involves risks. However, LVAD can be lifesaving; the patient can expect a good quality of life and can emerge as a ray of hope for many patients.”

Mechanical circulatory support devices have become an important treatment tool for severe, acute and chronic heart failure conditions, addressing two situations – non-availability of donor organ and for patients unsuitable for heart transplantation for various reasons.

Dr. Sandeep Singh, Cardiac Surgeon Narayana Superspeciality Hospital said, “This patient visited our hospital in a decompensated state with end stage heart failure. Ability to have reasonable effort tolerance & freedom from refractory symptoms is what the patient wanted.  He was given a choice for LVAD implantation as a bridge-to-transplant with extensive explanations of the procedure and its pros and cons. The patient was then admitted and stabilized in the intensive cardiac care unit. His lung pressures and retained body fluids were remarkably reduced with aggressive management for 3 weeks. Once he stabilized, he was taken for LVAD implantation.”

With the help of dedicated cardiac surgery team at Narayana Superspeciality Hospital Gurugram the patient was taken up for implantation of LVAD. The surgery went smoothly and within 24 hours the patient was taken off the mechanical ventilator. In the next 48 hours he was out of bed. In the subsequent 4-5 days the improvement was so evident that the patient was able to walk 100 meters without any difficulty. The patient and his family were provided training to manage the device without the help of any specialist.

Dr. Rachit Saxena, Cardiac Surgeon & Dr. Jitin Narula, Cardiac Anesthesia  Narayana Superspeciality Hospital said, “This patient visited our hospital in a very serious condition with liver & kidney dysfunction and severe swelling of the body secondary to heart failure. On being investigated clinically we found that he was suffering from decompensated heart failure. Patient was admitted in cardiac ICU and was put on cardiac support medications, intensive monitoring and aggressive medical treatment along with chest physiotherapy and nutritional support. We are glad that the patient  has responded well to the device and his overall condition has improved significantly”

The worldwide prevalence of patients living with chronic heart failure is on a rise. With severe and chronic heart failure, the left ventricle weakens to the point that it can no longer pump enough blood on its own to meet the metabolic demands of the body. Then an LVAD is used to save patients from these situations. Since their first inception, there have been marked improvements in LVAD technology making them a reliable therapeutic option for patients with advanced heart failure. Over time with new emerging technology, the LVADS have also evolved to be more efficient, safer and easier to use for patients. A decade back the devices were bulky, would only work for 4 hours without re- charging but now these devices are compact and come with 11 hours of battery life. It has not only made patients’ life easier but also helped them live a happy and fulfilling life.

Prateek Jain, Facility Director, Narayana Superspeciality Hospital added, We are well equipped to handle high end complex cardiac procedures. It has been our constant endeavor to provide state-of-the-art affordable treatment for people of Gurugram, NCR and the region”.

Narayana Superspeciality Hospital:                                                                                                                                           Nestled close to DLF Cyber City and the Delhi-Jaipur Highway, Narayana Superspeciality Hospital is a world-class medical facility catering to the healthcare needs of the NCR region. Featuring experienced medical professionals and the latest in medical infrastructure, the hospital represents Narayana Health’s commitment to quality medical care and patient service at affordable cost. Narayana Superspeciality Hospital has been built from the ground-up to be a state-of-the-art facility; with expertly planned and well-equipped sections, including a spacious OPD area and comfortable patient rooms which allows the hospital to cater to both In-Patients and Out-Patients in equal measure.

 The world-class medical equipment and infrastructure at the hospital ensures that it is capable of providing a wide range of treatment; from complex to routine, from pediatric to adult. The hospital’s location also conferrers on it several key advantages. It is the closest superspeciality hospital from Indira Gandhi International Airport towards Gurugram.

 

 

 

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