{"id":13083,"date":"2018-09-16T16:44:10","date_gmt":"2018-09-16T16:44:10","guid":{"rendered":"http:\/\/faceinews.com\/?p=13083"},"modified":"2018-09-17T03:02:37","modified_gmt":"2018-09-17T03:02:37","slug":"untreatable-by-top-surgeons-gets-a-new-life-with-cutting-edge-treatment-at-kauvery-hospital","status":"publish","type":"post","link":"https:\/\/www.faceinews.com\/?p=13083","title":{"rendered":"UNTREATABLE BY TOP SURGEONS GETS A NEW LIFE WITH CUTTING EDGE TREATMENT AT KAUVERY HOSPITAL"},"content":{"rendered":"

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\"Faceinews<\/a><\/p>\n

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Dr. A. Raghuram (Senior Consultant Cardiothoracic Surgeon), Prof. Dr. N. Sekar (Chief Vascular and Endovascular Surgeon), Dr. Aravindan Selvaraj (Executive Director & Chief Orthopaedic Surgeon), Mr. S.K (60 year old patient\u00a0from Vijayawada) along with his son and wife and Dr A B Gopalamurugan\u00a0(Senior Consultant Interventional Cardiologist & Electrophysiologist) (third from right)<\/p>\n

Aravindan Selvaraj (Executive Director & Chief Orthopaedic Surgeon),\u00a0Dr. A. Raghuram (Senior Consultant Cardiothoracic Surgeon), Mr. S K and\u00a0Dr A B Gopalamurugan\u00a0(Senior Consultant Interventional Cardiologist & Electrophysiologist)<\/p>\n

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Dr. A. Raghuram (Senior Consultant Cardiothoracic Surgeon), Prof. Dr. N. Sekar (Chief Vascular and Endovascular Surgeon), Dr. Aravindan Selvaraj (Executive Director & Chief Orthopaedic Surgeon),\u00a0Mr. S.K (60 year old from Vijayawada)\u00a0and Dr A B Gopalamurugan (Senior Consultant Interventional Cardiologist & Electrophysiologist)<\/p>\n

September 2018, Chennai: The aorta is the largest blood vessel in the body and is the<\/p>\n

blood vessel that carries oxygen-rich blood away from the heart to all parts of the body. The
\ncommonest diseases of the aorta requiring invasive treatment include Aortic Aneurysm which
\nis an abnormal swelling of the wall of the aorta or Aortic Dissection which is a tear in the wall
\nof the aorta. Both these conditions can be life threatening and replacement of the diseased
\naorta with a synthetic graft is the best treatment. When left untreated, such aneurysms can
\nrupture and majority of patients die in 3 to 4 minutes making it very unlikely for quick
\ntreatment to be delivered in that short period.
\nMr S K who hails from Vijayawada had an aortic repair done with stent grafts in 2016 for a
\nlife-threatening condition. Over the last few weeks, he became increasingly unwell and his
\nfamily including his son and wife were very concerned and took him to various hospitals at
\nVijaywada. He was diagnosed of severe renal failure and blood loss due to a leaking aortic
\naneurysm. Treatment for aortic diseases is only offered by a few centres in the country.
\nTherefore the patient obtained opinions from various leading surgeons in Vijaywada,
\nBangalore and Chennai. All concluded that no treatment can be offered for Mr S K\u2019s critical
\ncondition and that fatality was unavoidable.
\nIn despair, the family contacted Dr A B Gopalamurugan, senior interventional cardiologist and
\nChief of Aortic Interventions at Kauvery Hospital\u2019s newly-opened 24-hour Aortic Department.
\nDr Gopalamurugan is renowned for taking on very high risk patients for heart and aortic
\ndiseases and is a pioneer in various cutting edge treatments in the country. The 24-hour Aortic
\nDepartment at Kauvery headed by Dr Gopalamurugan consists of various super-specialists
\nincluding Cardiovascular Surgery headed by Dr Raguram, Vascular Surgery headed by the
\npioneer Prof Sekar, Renal Medicine headed by Dr Balasubramanian and Cardiac Radiology by
\nDr Zeeshan. Mr S K was urgently transferred to Chennai to Kauvery Hospital for immediate
\ntreatment.<\/p>\n

After initial assessment, Dr Gopalamurugan was shocked to observe the critical status of the
\npatient. He had a blood level (Heamoglobin) of 5 (normally over 10) and significant kidney
\nimpairment. He had a CT scan within minutes in the state of the art scanner for aortic diseases
\nat Kauvery which revealed a massive aneurysm measuring about 10cm in the chest wall which
\nhad slowly started to leak. Dr Gopalamurugan realised why no one in the country was
\nprepared to treat Mr S K as the treatment options were limited. With the possibility of only
\nlife or death, a high risk procedure was planned and executed by Dr Gopalamurugan to
\nprevent death and maintain quality of life.
\nCT scan on arrival showing massive aneurysm of Aorta, and 3D image of the Aorta
\nshowing the large blood leak into the aneurysm in the chest wall<\/p>\n

The aortic team then put in their best over the next 6 hours. The plan was to treat the kidney
\ndisease, replace lost blood immediately, perform a high risk procedure through the groin
\nvessels to seal the leak and most importantly perform all of these simultaneously as time was
\nnot a luxury. The patient was anaethetsisec by the cardiac anaesthetists. Chief Renal physician
\nDr Balasubramanian immediately performed dialysis for the patient. Professor Sekar and
\nteam immediately started to expose the groin vessels. Dr Raguram, Chief Cardiac Surgeon
\nprovided back up cardiac surgical support.<\/p>\n

Dr Gopalamurugan then deviced an indigenous plug using a routine existing stent graft and
\nthis is called as a \u201cCandy Plug\u201d. This device was designed and created in the cardiac cath lab.
\nThis \u201cCandy Plug\u201d was then used to seal off the aneurysm leak by introducing it into the groin
\nvessel and then navigating it into the neck of the aneurysm leak. This immediately sealed off
\nthe aneurysm and leak. The patient stabilised. The patient could come of anaesthesia on the
\nsame day and in a day the patient started feeling better and starting walking 2 days later.
\nCT Scan after the procedure showing the leak completely sealed off, and 3D image of the
\naorta after the \u201cCandy Plug\u201d technique showing no leak into the anurysm.<\/p>\n

Before After<\/p>\n

Mr S K and his family are extremely glad that what was deemed a mortal condition has now
\nbeen treated to have their loved family member back alive and more importantly able to have
\na normal quality of life.
\nDiseases of the aorta require a large team of highly trained experts available 24-hours a day
\nand equipped with all the latest machinery to be able to deal with any eventuality as the aorta
\nsupplies blood to almost every single organ in the body. Therefore dealing with aortic diseases
\nrequires vast experience and skills along with attention to detail to achieve good outcomes.
\nDr Gopalamurugan, head of aortic interventions feels that it is most important that patients
\nget to such aortic departments quickly as every minute lost can cost the life of a patient.
\nAwareness of aortic disease and its treatment and available centres will help patients get the
\nright treatment at the right time thereby saving lives and their loved ones\u2019 hopes<\/p>\n","protected":false},"excerpt":{"rendered":"

    Dr. A. Raghuram (Senior Consultant Cardiothoracic Surgeon), Prof. Dr. N. Sekar (Chief Vascular and Endovascular Surgeon), Dr. Aravindan Selvaraj (Executive Director & Chief Orthopaedic Surgeon), Mr. S.K (60 year old patient\u00a0from Vijayawada) along with his son and wife and Dr A B Gopalamurugan\u00a0(Senior Consultant Interventional Cardiologist & Electrophysiologist) (third from right) Aravindan Selvaraj […]<\/p>\n","protected":false},"author":2,"featured_media":13084,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[31],"tags":[],"class_list":["post-13083","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"_links":{"self":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts\/13083","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13083"}],"version-history":[{"count":2,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts\/13083\/revisions"}],"predecessor-version":[{"id":13095,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/posts\/13083\/revisions\/13095"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=\/wp\/v2\/media\/13084"}],"wp:attachment":[{"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13083"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13083"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.faceinews.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13083"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}