Emergency repair of ruptured heart performed on 52-year-old

A city hospital has successfully performed an emergency repair of ruptured heart, following heart attack on a 52-year-old man.

P Ramesh was brought to Kovai Medical Centre and Hospital (KMCH) with severe chest pain on October 25 and his coronory angiogram revealed a block in the right heart artery for which primary stenting was done, after finding he had major heart attack.

Though his pain got better, he progressed to have difficulty in breathing, following which an echocardiography was performed, which showed that the septum between the Left and Right ventricle got ruptured, which was one of the complications after major heart attacks, Dr Thomas Alexander, interventional Cardiologist of KMCH, said in a release today.
 

Claiming that this condition was rare and most of the patient die within hours if not surgically corrected, he said that Ramesh was immediately shifted to Cardiothoracic Surgical ICU and was put on Cardiac support (Intra Aortic Balloon Pump) to improve his cardiac output.

Even the operation in this condition causes high mortality, he said.

Then he was taken up for emergency surgical repair by D Prashant Vaijayanth, Director of Cardiothoracic Surgery KMCH and the patient was connected to Heart lung machine.

His heart was stopped with cardioplegia solution.

Ventricular chamber was opened, dead portion of the heart was exercised and defect was repaired with infarct exclusion technique using "Borine pericardium".

His recovery in the post operative period was good and was discharged in stable condition on 5th post operative day, Thomas said.