Jamshedpur, Dec. 14: A 35 year old fisherman from Gamharia was rushed to Brahmananda Narayana Multispeciality Hospital (BNMH) as he was suffering from severe chest pain, palpitation and dyspnea on exertion. Cardiac investigations revealed a leak in the main artery, which supplies pure blood to the body. The leak was draining into the right side of the heart and this condition is known as Ruptured Sinus of Valsalva.
A team of doctors led by Dr. Pankaj Kumar Gupta, Consultant Cardiologist at Brahmananda Narayana Multispeciality Hospital successfully treated this complex case by closing the leak with a device (also called umbrella device), which opens at the site of leak and closes the defect. This was a high-risk procedure and required surgical back-up in case of complications.
“We made a plan to close the leak through the groin with the Amplatzer® ductoccluder device, commonly called as umbrella device, which opens at the site of the leak and closes it. However, a surgical option was also sought due to the high risk of this procedure. The device closure was tried first and surgical backup was kept in view of complications” informed Dr. Pankaj Gupta.
The exact position and size of the leak was assessed using the angiogram. The leak was fairly large and therefore the largest size device (24 mm in size) was used to close the leak. This procedure needs highly skilled and experienced hands. The entire procedure went smoothly and device closure of the leak was performed successfully by Dr. Pankaj Gupta and Dr. Abhay Krishna.
Ruptured Sinus of Valsalva is a very rare defect in the heart with a prevalence of about 1 in 100,000 of which the most commonly affected are Asians. Commenting on the successful procedure performed by the team of expert cardiologists, Mr. RupeshChoubey, Facility Director, Brahmananda Narayana Multispeciality Hospital said, “The Ruptured Sinus of Valsalva is an extremely rare condition and requires great expertise to treat. It is a commendable achievement by the team of doctors considering the level of complexity involved.”
Patient’s recovery was remarkable. His blood pressure and heart rate became normal over a period of 10 to 12 hours post cardiac intervention. After clinical evaluation, it was found that the leak was completely occluded by the device. The dilated heart would take couple of months to become normal.
Within a week of being discharged from the hospital, he is already able to perform day to day errands and eagerly waits to get back to work in just over a month. The doctors suggested that one must take regular medicines as advised after any cardiac intervention procedure and come for regular follow-up checks.