Casestudies

AORTIC STENOSIS WITH SEVERE LV DYSFUNCTION

||AORTIC STENOSIS WITH SEVERE LV DYSFUNCTION||

A 20-year-old gentleman a known case of bicuspid aortic valve from childhood. He underwent aortic balloon valvotomy in 2017. In last three months he had multiple hospital admissions for breathlessness. On evaluation the echo revealed severe aortic stenosis with severe LV dysfunction (LVEF -25%). He was referred from Tirupathi for further evaluation. In view of severe LV dysfunction, the risks and the need for mechanical circulatory support was explained and the patient was taken up for high-risk aortic valve replacement performed by Dr. Srinath Vijayasekharan, Dr. Senthil Kumar and Team. Intraoperative TEE revealed bicuspid aortic valve with thickened leaflet, fibrotic leaflets with minimal calcifications, severe LV dysfunction. Aortic root was sized and replaced with 21 mm On-X mechanical aortic valve. He required inotropic support in the immediate post operative period.  His LV function gradually improved and was discharged within a week without any complications. The patient living a normal life now and on a regular follow up.

I'm interested

    Related Casestudies

    • A SURGICAL FEAT ACROSS SYSTEMS: TACKLING RENAL CELL CARCINOMA WITH INTRACARDIAC EXTENSION

      ||A Rare and High-Risk Multidisciplinary Triumph at Rela Institute||A 47-year-old man presented to Rela Institute with a complex and life-threatening condition—clear cell renal cell carcinoma (RCC) that had extended beyond the kidney to invade the liver, adrenal gland, and, most critically, the right atrium of the heart via the inferior vena cava (IVC). What began as persistent cough and breathlessness led to a startling discovery—a massive retroperitoneal tumor with intracardiac extension, a rare presentation seen in less than 1% of RCC cases. Imaging including PET-CT, MRI, and CT-pulmonary angiography revealed a large necrotic mass invading multiple organs and extending into

      Read More

    • LUNG TRANSPLANT IN A CASE OF INTERSTITIAL LUNG DISEASE

      ||LUNG TRANSPLANT IN A CASE OF INTERSTITIAL LUNG DISEASE|| 42 year old female a known case of interstitial lung disease since 2010. She is also a known case of rheumatoid arthritis. She had worsening of her lung functions since 2020 and became oxygen dependent since 2023. She required more than 10 litres of oxygen support and became totally bedridden for the past 3 months. She got admitted and evaluated for lung transplantation and got registered in the Tamilnadu state transplant registry. She got deteriorated requiring HFNC support with 100 % oxygen. It was found that maintaining oxygen saturation more than

      Read More

    • LUNG TRANSPLANT IN SEVERE PULMONARY HYPERTENSION

      ||LUNG TRANSPLANT IN SEVERE PULMONARY HYPERTENSION||19-year-old female was diagnosed with Bronchiectasis at 7 years of age. Her lung condition gradually deteriorated which led her to become oxygen dependent. She became extremely oxygen dependent and had breathlessness even at rest. She hardly maintains oxygen saturation more than 85% even with 10 litres of oxygen support. Her family was extremely worried about her declining health condition. Her parents brought her to Rela institute. She was evaluated and was found to have cystic bronchiectasis with severe pulmonary hypertension due to long standing poor pulmonary reserve. Parents were counselled about high-risk lung transplantation and

      Read More
    Go Back Top