SRINAGAR: The Department of Cardio Vascular Thoracic Surgery SKIMS recently successfully operated on a 60-year-old patient with rare pathology and gave a new lease on life to him.
Dr. Farooq Ganie, Associate Prof. CVTS SKIMS who headed the surgical team while giving details said that the patient, an active smoker, boat rider by profession, with no underlying comorbidity complained of sudden onset chest pain and breathlessness.
The patient was immediately rushed to one of the big corporate private hospitals, where ECG showed features suggestive of a heart attack and ECHO was suggestive of ‘Acute (valvular leak) MR with AML Chordae torn with complete prolapse of AML with LCX and LAD hypokinetic. The patient was given aspirin and clopidogrel orally and was immediately referred to the Department of Cardiology SKIMS Soura where the patient was thoroughly evaluated and was immediately discussed with the cardio surgical team department of CVTS SKIMS and the patient was planned for emergency surgery.
On admission, the patient was found in Cardiogenic shock with hemodynamic unstable with pulmonary edema. Immediate resuscitation was started with ionotropic support and was shifted to the operation theatre and surgery went uneventful. The patient was shifted to CVTS ICU and was put on mechanical ventilation with multiple ionotropic support.
The patient was extubated after 6 hours of surgery. The patient is recovering and will be discharged soon.
Dr Farooq said that patients who present with such pathology, acute mitral regurgitation secondary to infarction emergently requiring valve replacement have an 80-90% mortality in the world’s best cardiac centres.
Director SKIMS Prof M Ashraf Ganie appreciated the Department of CVTS, SKIMS & Department of Anesthesiology & Critical Care for performing the surgery successfully. He said SKIMS has one of the finest surgeons and other medical practitioners who are infusing new life into the SKIMS patient care practices. He said SKIMS being one of the leading institutes in the country is hugely contributing to the healthcare in the country and SKIMS will continue to grow and will always take a lead in the health structure through efficient & robust patient care.
The surgery team included Dr Farooq Ahmad Ganie Associate professor of the Department of Cardiovascular Thoracic Surgery, Dr Abid, Dr Mudasir, Dr Ajmal and the anaesthesia team was headed by Prof Showkat Ahmad Gurcoo Head Department of Anesthesia, Dr Shafat Associate Professor and Dr Irfan supported by perfusion team and scrub team including Sabzar, Mrs Asifa and Mr Shamem.

KR Desk