Gangtok, 20 Dec:
The Department of Cardiology team at Central Referral Hospital, Tadong, led by Consultant Interventional Cardiologist and Head of the Department of Cardiology (CRH), Dr DP Rai, performed a lifesaving operation on a 56-year-old patient hailing from Gorubathan, West Bengal, suffering from a complicated heart disease, which, if left untreated would have proved fatal and in which even a surgical intervention carried a 50/50 chance of survival.
It is informed that the patient had been undergoing treatment in Siliguri. However, due to her deteriorating condition, her family members rushed her to CRH to seek better treatment.
The CRH Cardiology team successfully operated on the patient on 19 Dec, 2018.
“She was the most challenging case of blockage on main trunk artery of the heart called Left Main Coronary Artery (LMCA) which has 50% chance of being death on OT, and 100% without chance if left untreated,” informs Dr Rai.
LMCA is the most important trunk artery that supplies 70-100% of blood into the heart and the blockage of which is the highest-risk lesion subset of heart attack due to critical stenosis or abrupt occlusion which is a catastrophic situation with very high in-hospital mortality.
Most of the cases die before reaching the hospital, it is informed.
It has traditionally been an indication for open heart surgery, Coronary Artery Bypass Grafting (CABG).
Recent evidence suggests comparable clinical outcomes between minimally invasive percutaneous coronary intervention (PCI) and CABG for LMCA disease, with similar rates of mortality.
Both, the American College of Cardiology and European Society of Cardiology recommend the quickest possible recanalization of acutely occluded vessels in patients with acute heart attack.
The 56-year-old patient’s quick and successful minimally invasive operation performed by CRH doctors has helped her survive and avoid open heart surgery.