The Kalinga Institute of Medical Sciences (KIMS) has conducted successful redo heart valve surgery on a 60-year-old woman for the first time in the State.
The patient of Burla in Sambalpur district was operated for heart valve problems 12 years ago at the AIIMS, New Delhi. She had a bioprosthetic or tissue valve for her aortic valve problems. The tissue valve degenerates over period of time, requiring second surgery.
However, the adhesions of first surgery, distorted anatomy, advanced age and advanced disease make redo surgery more risky. Further, specialised instruments and techniques are required for better outcome.
Morbidity in cardiac re-intervention is higher than the first operation because of cardio-pericardial adhesions and more advanced cardiac pathology. Re-sternotomy carries a high risk of cardiac injury and subsequent catastrophic bleeding.
A team of KIMS doctors Dr Bana Bihari Mishra, Dr Nimai Charan Behera, Dr Ashok Kumar Badamali, Dr Jyoti Ranjan Parida and Perfusionist Saumya Kanta Satpathy and Subishna Bal accomplished this risky operation.