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567A /2023-24 03-11-2023
Chennai
Landmark Medical Achievement at Southern Railway Headquarters Hospital in Perambur First High-Risk, Non-Surgical Mitral Valve Replacement procedure saves the precious life of a 67-year old patient’s life


Southern Railway Headquarters Hospital at Perambur has reached an extraordinary medical milestone, achieving India's first high-risk, non-surgical mitral valve replacement in a government institution. This groundbreaking procedure, o­nly the third of its kind in India and the first in a government institution, was executed with unparalleled expertise and dedication. The successful completion of the surgery resulted in the patient's swift recovery, demonstrating the pivotal role of healthcare professionals in saving lives.

The life-saving decision and  innovative procedure

Malfunctioning mitral valve posed a critical situation for a 67-year-old female patient at Southern Railway Hospital, who had previously undergone multiple procedures due to a damaged mitral valve.  The patient's condition had deteriorated, experiencing weakness, breathlessness, and palpitations, rendering routine tasks impossible. Extensive examinations revealed severe damage to the mitral valve, prompting the medical team's critical decision to pursue a non-surgical replacement due to the high risk of a second surgery.

The mitral valve, an essential component of the heart's intricate system, plays a crucial role in circulating life-sustaining blood throughout the body. Mitral valve disease is a global health concern, causing significant distress and, in severe cases, mortality. Traditionally, patients with a malfunctioning mitral valve undergo open-heart surgical procedures to replace the defective valve. However, subsequent replacements may pose substantial risks and challenges.

In a meticulous and life-saving decision, the hospital's cardiology team comprising of Dr S. SenthilKumar, Addl Chief Health Director, Cardiology, Dr P V Thanuja Addl Chief Health Director, Cardiology, Dr NM Kumar, Addl Chief Health Director, Cardiac anaesthesia, Dr NR Ravishankar Chief Cardio thoracic surgeon, Dr V Anandkumar Addl Chief Health Director, cardio thoracic surgery and Dr Shilma, Divisional Medical Officer, Cardiac anaesthesia, supported by an able team of nurses and paramedic staff,planned out and executed the innovative procedure, akin to an angiogram, and accessed the damaged mitral valve through the artery of the groin area. The complex, four-hour-long procedure involved precise cutting of the old valve leaflet using wires and its immediate replacement through another artery, all supported by an IABP (Intra – aortic balloon pump)

The Southern Railway Hospital's achievement not o­nly saved a life but also signifies a significant leap in cardiac care, promising hope to numerous patients facing similar challenges.

This historic breakthrough in cardiac care marks a significant advancement, underscoring Southern Railway’s Perambur hospital’s  pivotal role in pioneering innovative medical procedures.

The Cardiology team was later congratulated by Dr Ravindran Principal Chief Medical Director, Southern Railway, Dr Aniruddha Kirtanya, Principal Chief Medical Director, Railway Hospital, Perambur, Dr S Kalyani, Medical Director, Perambur Railway Hospital, Railway Paramedical and Nursing Staff, Railway Staff and patients.

                                                                                      

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