16 hrs ago
Apollo Team Completes Complex Robotic Heart Surgery With Clot Removal
A 37-year-old man had two serious heart problems at the same time.
One problem made a heart valve very narrow, and the other blocked three important heart arteries.
Doctors used small robotic instruments to replace the damaged valve and create new paths for blood to flow around the blockages.
During the operation, they unexpectedly found a blood clot inside the heart.
Earlier heart scans had not shown the clot.
The surgeons removed it before completing the valve replacement.
The operation lasted several hours and used a mechanical replacement valve.
The patient recovered without complications and went home six days later.
A 37-year-old man underwent combined robotic bypass surgery and mitral valve replacement at Apollo Hospitals Jubilee Hills.
He had severe calcific rheumatic mitral stenosis and blockages in all three major coronary vessels.
Surgeons performed multiple bypass grafts using both internal mammary arteries and a saphenous vein graft.
An unexpected organized blood clot was found and removed from the left atrium despite negative echocardiograms.
The patient recovered without complications and was discharged on the sixth postoperative day.
- Who
- A 37-year-old man was treated by a team led by Dr A. Nagesh at Apollo Hospitals Jubilee Hills.
- What
- The team performed robotic multi-vessel coronary artery bypass grafting, removed an unsuspected left atrial thrombus, and replaced the mitral valve.
- Where
- Apollo Hospitals, Jubilee Hills.
- When
- The patient was discharged on the sixth postoperative day; the article does not specify the calendar date of surgery.
- Why
- He had severe calcific rheumatic mitral stenosis and triple-vessel coronary artery disease requiring valve replacement and coronary revascularisation.
Key facts
- Patient age
- 37 years
- Mitral valve opening
- 0.9–1.0 square centimetres
- Heart pumping function
- Preserved at 60 per cent
- Prosthetic valve
- 27-mm St. Jude mechanical prosthesis
- Cardiopulmonary bypass time
- 216 minutes
- Aortic cross-clamping time
- 120 minutes
- Hospital outcome
- Recovered without complications and discharged on the sixth postoperative day
Sources
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