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Home/ News and RFH Newsletters/ Rare surgery ends 8 year breathing struggle for Surat resident-Sep 23,20



The diamond factory worker no longer need to carry oxygen support equipment or require a heart-lung transplant

A 36-year-old Surat resident’s 8 year long struggle to breathe, came to an end following a rare curative surgical procedure on a rare medical condition instead of a heart-lung transplant that was suggested by experts across the World and in India.

The surgery was recently performed by a team of advanced cardiac sciences at Sir HN Reliance Foundation Hospital.

Bhaveshbhai Sabhadia , who works in a diamond factory, has been struggling to breathe and lead a normal life since 2012. Off late his struggle to breathe increased and needed oxygen support for last two years.

He was unable to walk a few steps or sleep at night and had to be on and off hospitalised for water accumulation in abdomen region. He was told that heart-lung transplant was the only treatment option.

Bhaveshbhai approached the advanced cardiac surgery department of Sir HNRFH that’s headed by Dr Anvay Mulay for a heart-lung transplant when the COVID-19 pandemic began.

at the hospital evaluated his health condition and diagnosed him with chronic thrombus pulmonary embolism (CTPEH), a condition wherein the patient has high blood pressure in the lungs’ arteries. They also found that his right side of the heart was severely damaged and the blood pressure in the lung vessels were 4 times more than the normal.

CTPEH is a rare and severe form of pulmonary hypertension (PH) which goes undiagnosed in most cases. In Bhaveshbhai’s case too, it was diagnosed late leading to severe damage to his heart.

Dr Anvay Mulay and his team of doctors at Sir HNRFH decided to go for Pulmonary endarterectomy surgery instead of the heart-lung transplant.

 

Though it was one of the high risk and challenging surgery, doctors managed to remove the old blood clots from the pulmonary arteries in the lungs and reduce the blood pressure inside the pulmonary arteries.

Post the surgery, doctors were happy to see the right side heart responding well and showing remarkable improvement.

“In Bhavesh's case, it was a level 3-4 CTPEH making it technically a difficult surgery. It was heartening to see a terminally ill patient, who was waiting for heart-lung transplant, walk home with his own organs,” said Dr Anvay Mulay, director cardiac surgery and heart transplant, Sir HNRFH.

The biggest backing we had was of mechanical circulatory support and the ability to perform heart lung transplant in case the operation does not deliver desired result.

Today Bhaveshbhai is happy and thanks the entire Sir HNRFH team and is looking forward to play with his daughter as any normal father without getting in the respiratory distress.

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