Lucknow News: A 28-year-old lady was successfully saved by doctors at King George’s Medical University (KGMU) after undergoing a difficult procedure that caused temporary “death” for six minutes. Deep hypothermic circulatory arrest (DHCA) is a procedure that involves lowering the body’s temperature, stopping the flow of blood to all organs, and establishing a controlled “clinically dead” state in order to execute delicate procedures. In Uttar Pradesh, a government facility performed the procedure for the first time The patient experienced problems with her aorta, a significant blood conduit that transports blood from the heart to the body. An aortic pseudoaneurysm, a protrusion in the vessel’s wall, was the problem’s outward sign.
Complex Medical History Leads to High-Stakes Procedure
A year and a half prior, Vineeta from Ayodhya underwent surgery to replace two double valves. She was diagnosed with an aortic pseudoaneurysm a month ago after being brought with chest symptoms to the KGMU cardiology department. The bulge’s aperture was sealed off by the cardiology and thoracic surgery departments using an aortic device during an endovascular intervention. Unfortunately, a leak started within a few weeks, enlarging and posing a threat of rupture and fatality. Open surgery was the only practical choice. However, even a little wound to the part that is swollen could cause instantaneous demise.
The Orchestrated Effort Behind the Lifesaving Procedure
The intricate process was carried out on August 9 with help from DHCA. The patient was put under anaesthesia, and a catheter was placed to track its brain activity, all by a team from the cardiac anaesthesia department led by Prof. GP Singh, Drs. Karan Kaushik, Durga Prasad, and Surabhi Negi. The patient’s thigh was then cut open by the heart surgery team, which also included Drs. Vivek Tewarson, Sarvesh Kumar, Rahul, Bhupendra, and Zeeshan Hakeem. In order to preserve her heart and lungs during the treatment, they attached a tube to her aorta and connected it to a bypass machine.
The Intricacies of Temperature Management and Revival
The patient’s body temperature was then steadily lowered over the course of an hour and a half by perfusionists Manoj Srivastava, Tushar Mishra, Debdas Parmanik, and Sakshi Jaiswal using a heartlung bypass machine’s temperature management mechanism. The body can tolerate being “dead” for up to 15-20 minutes at this temperature. To stop brain activity, medication was administered. The cardiac and thoracic surgery teams, along with nursing personnel Vibha Singh and Maneesha, were able to remove the aortic pseudoaneurysm and repair it in just six minutes after causing “clinical death.” The patient was progressively brought back to life over the next four hours.
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