Dateline Dehradun: Ramesh Sharma, resident of Udham Singh Nagar, who had undergone angioplasty for heart treatment at Himalyan Hospital a year back, was brought to the hospital’s Cardiology OPD earlier this month. Dr Chandra Mohan Belwal attended to his complain of abdominal pain and lower limb pains. Detailed evaluation and investigation revealed that his aorta, which is the largest artery of the body had ballooned in its lower part and was leaking blood into the abdomen, hampering normal blood flow to the lower limbs. CT also showed that his arteries to lower limbs were critically narrowed.
This disease is called Abdominal aortic aneurysm with contained rupture with severe POVD. This type of disease can be treated only by open surgery but considering the risk involved, the patient was given the option of Endovascular Repair of Aorta (EVAR) by Dr Belwal in which arteries in lower abdomen and upper part of thighs are opened using stent graft system. It’s a complex surgery. After discussing the complications with the patient and family members the patient was finally taken up for EVAR . The surgery was 6 hours long and was eventually successful only because of multispeciality approach and support system that provided best of care.
The teams from the Department of Cardiology, Cardiovascular Surgery and Anaesthesia contributed significantly to the success of the surgery. Dr Chandra Mohan Belwal, Dr Anurag Rawat, Dr Kunal Gururani from Cardiology , Dr Bhawna Singh, CTVS surgeon and Dr Kriti from anaesthesia made this mammoth task a success.
Dr Belwal in his brief post surgery mentioned that this type of surgery gives patients immediate relief from life threatening complications like rupture of aneurysm and restores normal blood flow to lower limbs. He also stated that this specific surgery was conducted at Himalayan Hospital for the first time, with the result that it can now help lots of similarly afflicted patients with similar confidence.
