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Geetanjali Medical College & Hospital’s Cardiac Centre performed a successful Double Valve Replacement & by Pass Surgery of a 60 year old patient Bhanwar Lal Dangi from Udaipur (Raj.) also suffering from renal dysfunction.
According to the information provided by Mr. Chanchlesh Bhatt, Head of PR department, the patient came to Geetanjali Medical College & Hospital for treatment of valve heart disease after getting diagnosed in some other hospital, he suffered from last 2 to 3 years, After diagnosed by Dr. Sanjay Gandhi it was found that the patient had altered renal function due to stones in kidney and urethra. After further evaluation, it was also found that the patient was suffering from coronary artery disease which was confirmed by Dr. Harish Sanadhya that coronary angiography by showing triple vessel disease.
Now the patient needs to go for bypass surgery and double valve replacement which was a high-risk procedure, especially in existing renal dysfunction. To optimize the renal function before surgery, Dr. G.K. Mukhiya the nephrologists, and Dr. Pankaj Trivedi the urologist & Dr. Vishwas Baheti were consulted. They decided to relieve the obstruction of flow to urine from the kidney to bladder by performing a procedure called “DJ Stenting” but again since the patient was suffering from valve & coronary artery diseases it was a high-risk procedure for them too. Cardiac anesthetist Dr. Kalpesh Mistry assisted them in the procedure and was done successfully.
Bypass surgery was performed successfully by putting four grafts. The patient operated for at least 7 to 8 hours, and then the patient was shifted to ICU where he recovered well and then shifted to the cardiac ward after 3 days.
This is one more example of institutional team efforts to treat a combined cardiac and kidney disease. Now the patient is healthy and free from heart diseases and also has normal renal functions. The patient is an ESIC beneficiary. The surgery so performed was complex (high-risk procedure) as in such cases if the surgery is performed with renal dysfunctional then it may lead to renal failure thereby resulting in patient’s death.
The team of doctors included Nephrologist Dr. G.K. Mukhiya, Urologist Dr. Pankaj Trivedi, and Dr. Vishwas Baheti. The cardiac team included Dr. Harish Sanadhya (Cardiologist), Dr. Sanjay Gandhi (Cardio Thoracic & Vascular Surgeon), Dr. Reenus Demen (Cardiac Surgeon), Dr. Ankur Gandhi, Dr. Kalpesh Mistry & Dr. Manmohan Jindal (Cardiac Anesthetist).
Source – Jay Kumar Savita, City Journalist, Udaipur, Collegedekho.com