A Life-Saving Aortic Dissection Surgery Advanced Cardiac Intervention

Background

A 42-year-old patient arrived at BM Birla Heart Hospital with a severe case of aortic dissection, a life-threatening condition where a tear in the inner layer of the aorta causes blood to leak between the vessel walls. His condition had worsened as the tear extended up to the head branches and lower limb arteries. By the time he reached the hospital, his aortic valve was leaking, putting him at high risk of a rupture, which could be fatal. Having been diagnosed over a week earlier, he was already in a critical state when he was brought to Dr. Manoj Daga, a leading Cardiothoracic Surgeon at BM Birla Heart Hospital.

Investigation & Analysis

Recognising the urgency of the case, Dr. Daga and his team conducted a detailed assessment, confirming a major dissection involving the ascending aorta, aortic arch, and upper descending aorta. The patient’s deteriorating condition, along with a high risk of rupture, necessitated immediate surgical intervention. Aortic dissections are rare in India, making timely diagnosis and treatment crucial for survival.

Treatment & Management

A complex surgical procedure was undertaken to repair the damaged aorta and restore normal blood flow:

Surgical Intervention:

• The leaking aortic valve was replaced with a mechanical valve.
• The dissected portion of the aorta was removed and reconstructed using a synthetic graft.
• Head blood vessels were carefully re-implanted to restore circulation.
• The ascending aorta, aortic arch, and upper descending aorta were replaced with a synthetic tube graft.

Post-Operative Care

Following the extensive 5-6 hour surgery, the patient was closely monitored in the post-operative unit. With dedicated care, he made a steady recovery, and his vital parameters stabilised. He has since resumed normal life with no complications.

Dr. Daga, CTVS Surgeon, Department of Cardiac Surgery, remarked, “Aortic dissection is a surgical emergency, and survival chances drastically decrease if not treated within the first 48 hours. Early detection and immediate intervention are key.”

BM Birla Heart Hospital continues to lead in advanced cardiac interventions, offering patients hope and a second chance at life.