Swollen abdominal aorta with multiple angulations treated successfully
Chennai, 11th September 2018: A team of vascular surgeon and cardiac anesthetist from Fortis Malar Hospital recently performed a challenging endovascular aneurysm repair on a 69 yrs. Old man from Bangladesh. The timely treatment and meticulous procedure saved Mr. Ananta Kumar Saha who was in critical condition as his abdominal aorta was in high risk of rupture. This challenging procedure was successfully executed by Dr. Balakumar S, Senior Vascular Surgeon, Fortis Malar Hospital.
Mr. Saha, a hardware salesman from Bangladesh , has been experiencing pulsating mass in his abdomen for the past 20 years, and the intensity had increased over the last two months. The patient was admitted to Fortis Malar and diagnosed with an abdominal aortic aneurysm. His ballooned abdominal aorta was 9 cm (normal 1.6cm) with 90 degree turns and twists at three levels, resulting in a very high chance of rupture and instant death.
Following an evaluation, the patient was taken for Endovascular Aneurysm Repair (EVAR). EVAR is a minimally invasive procedure wherein both the femoral arteries in the thighs are opened with a very small incision and a stent graft is inserted, excluding an aneurysm thereby preventing rupture. Due to multiple angulations which were along the course of the blood vessels from the heart to the legs, the exact and precise placement of the stent graft had to be meticulously executed by the doctors to prevent leak and clot migration.
Speaking on the surgery, Dr. Balakumar S said, ‘Abdominal Aortic Aneurysm cases could be very risky as once the aorta ruptures, it could lead to instant death. Prevalence of Abdominal Aortic Aneurysm is about 5 to 16% in men older than 65 years. But the dilatation of blood vessels occurs earlier and will be asymptomatic in most patients. The rupture rate is 20% for 5years if size is above 5.5cms causing instantaneous death. Therefore, screening by simple Ultrasound Abdomen becomes essential in men over 50 years with risk factors such as diabetes, elevated blood pressure, increased cholesterol values, obese individuals and patients with known coronary artery disease. Failure of early screening would result in detection of aortic aneurysms with complications like contained rupture and at times rupture leading to inevitable loss of precious life.’
‘I am very happy that we came to Fortis Malar. Our hope increased after we met Dr. Balakumar. I no more feel the pulsating mass in my abdomen and I am very thankful to the team of doctors who performed this surgery successfully.’ said Mr. Saha.
An abdominal aortic aneurysm is an enlarged area in the lower part of the aorta, the major blood vessel that supplies blood to the body. Because the aorta is the body’s main supplier of blood, a ruptured abdominal aortic aneurysm can cause life-threatening bleeding. The likelihood that an aneurysm will rupture is influenced by the size, expansion rate, continued smoking and persistent hypertension.
Fortis Healthcare Limited
Fortis Healthcare Limited is a leading integrated healthcare delivery service provider in India. The healthcare verticals of the company primarily comprise hospitals, diagnostics and day care specialty facilities. Currently, the company operates its healthcare delivery services in India, Dubai, Mauritius and Sri Lanka with 45 healthcare facilities (including projects under development), approximately 10,000 potential beds and over 368 diagnostic centers.
About Fortis Malar Hospital:
Fortis Malar Hospital was acquired by Fortis Healthcare (India) Limited in early 2008. The hospital founded in 1992, is established as one of the largest corporate hospitals in Chennai providing quality super specialty and multi-specialty healthcare services. Fortis Malar Hospitals, with 180 beds, focuses on providing comprehensive medical care in the areas of Cardiology and Cardiac Surgery, Neuro Surgery, Gynaecology, Orthopaedics, Gastroenterology, Neurology, Paediatrics, Diabetics, Nephrology, and Internal Medicine. Fortis Malar Hospital has a state of the art Cath Lab and multiple dedicated cardiac operation theatres and intensive coronary care units. Several rare and complex Adult and Paediatric Cardiac surgeries, Orthopaedics and Joint replacements, Neurosurgeries and Plastic reconstruction surgeries have been performed at this hospital. The hospital’ Obstetrics and Gynaecology services are among the busiest in the city, successfully performing many complicated deliveries and surgeries. They are supported by a dedicated Neonatology unit.