Complex heart Surgery with world smallest heart pump saves 90 years old man at PGIMER

 Chandigarh, June 30

A team of doctors in the department Dr Himanshu Gupta, Associate Professorunder the guidance of Prof Yash Paul Sharma performed a highly complex and lifesaving angioplasty in a 90-year-old man who was suffering from weak heart and critical coronary artery disease and severe COPD, who was too old and weak to undergo an open-heart surgery.

Dr Himanshu Gupta, Associate Professor explained that the patient was not fit for open heart surgery but at the same time the angioplasty procedure was also very complex and high risk as the patient had heavily calcified Left main trifurcation disease with a weak heart. In this procedure we used the Impella device, which is a miniature heart pump that supports the patient vitals during the process of angioplasty. Doctors explained that as the patient had heavily calcified coronaries we had to first use 3 different sized Rotablator burrs followed by a shock wave (IVL) balloon to remove the large amount of calcium before the stents could be successfully implanted in the patient.

The procedure was very long taking almost 4 hours and the Impella device really helped in keeping the patient stable during the entire length of the procedure. The patient recovered remarkably after the procedure and was successfully discharged after 2 days. These kind of procedures have also been successfully performed in the past however without the use of new devices like Impella, they used to be extremely high risk for the patient. We are happy that we at PGI can now use this device for such high-risk procedures and improve patient safety and outcomes, the doctor said.

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