Woman undergoes rare heart surgery in NIMS Hospital.

 T The patient was on a ventilator and involved in many high risks including post-delivery issues.

     NIMS Chairman Dr B S Tomar appreciated the efforts of CTVS surgeons and anaesthetists.

 

The team of CTVS surgeons and anaesthetists of NIMS Super Specialty Hospital performed one of the rarest kinds of heart surgery and saved the patient's life. The 22-year-old lady was diagnosed with infective endocarditis of the tricuspid valve. She was in critical condition as she had delivered a baby less than a month before.

After a unique procedure on Wednesday, the 1st of June, the lady with isolated tricuspid valve endocarditis with vegetation was discharged from NIMS Superspeciality Hospital.

Infective endocarditis is a condition in which the inner lining of the heart or the heart valve becomes infected. Her left heart was only operating at 10-15% of its maximum capacity when she was admitted to the hospital. Because her tricuspid valve was not functioning properly, her right heart was having trouble pumping blood from the body back to the lungs for oxygenation. Infectious endocarditis of the tricuspid valve was detected by doctors. Due to the rarity of the condition, the procedure was equally uncommon and carried a significant level of risk. 

 

Within a month of giving birth to a kid, the woman was hospitalised. She is now reunited with her newborn when the defective valve has been replaced with a biological valve. Under the supervision of Dr Raghav Johri, cardiac surgeon and Dr Deepak Tiwari, Director of cardiac anaesthesia, NIMSHospital, her successful surgery was paid for by the Chiranjeevi HealthInsurance Scheme.

 

The patient was hospitalised in NIMS hospital's ICU one month ago with congestive heart failure and breathing difficulties following delivery. Her initial cultures revealed that she had MRSA (methicillin-resistant Staphylococcus aureus) a cause of infection that is difficult to treat because of resistance to some antibiotics. She was treated with appropriate antibiotics, and even though her cultures became sterile, the patient remained in CCF. Her vegetation grew in size and was covering the entire tricuspid valve, so she had to be intubated, put on a ventilator, and was on ionotropic support. However, she had recovered after the valve transplant.

 

Isolated tricuspid valve surgery is uncommon, it involves a significant risk of mortality, morbidity, and heart block, and it necessitates thorough post-operative care and ICU management. For this successful surgery kudos to the cardiac team of NIMS Hospital.