Assam: NEMCARE Hospital successfully perform rare surgery

Senior doctors from the cardiac department have given a new life to a 71 year old lady

Pioneer health care istitute of Guwahati, NEMCARE Hospital has performed a critical surgery the hospital.
Bela Biswas, a 71-year-old fragile lady, with bodyweight 27 kg was admitted to the hospital following shortness of breath on minimal exertion. She was normotensive, non-diabetic.
After all the medical evaluations, it was found that Biswas was suffering from an age-related condition called severe sclerotic aortic valve stenosis associated with Bicuspid aortic valve with severe calcification and ascending aortic aneurysm.
Bela Biswas addressing the media with the doctors
Image: Bela Biswas addressing the media with the doctors
Her biochemical parameters were all within the normal range. As per recent guidelines symptomatic severe aortic stenosis could be treated either by Surgical Aortic Valve Replacement (SAVR) or Transcatheter Aortic Valve Implementation (TAVI).
The procedure was carried out on September 27, 2021. She was then shifted to the CICU for 48 hours for observation and recovery. On the 3rd day after the surgery, she was shifted to the cabin after she showed recovery.
Keeping in mind her physical condition, the TAVI procedure was the only option. The cardiac team consisting of Dr Monowar Hussain, Dr Rajesh Das, Dr Apurba Kumar Sharma, Dr Uttam Kumar Sarma and Dr Dibya Mohan Hazarika carried out the entire procedure after discussion with the family members of Mrs Biswas.
The procedure was carried out on September 27, 2021. She was then shifted to the CICU for 48 hours for observation and recovery. On the 3rd day after the surgery, she was shifted to the cabin after she showed recovery. On the 5th day, she was discharged from the hospital.
Addressing the media at the press meet, the doctors said that TAVI is very rarely performed in India, especially in the Northeastern states. It is popular in European countries as well as in America because it is less invasive and requires only local anesthesia with sedation and a minimal hospital stay for a maximum of 48 hours.
The TAVI/TAVR procedure
Image: The TAVI/TAVR procedure
The reason behind the less popularity of TAVI in India is due to its high price and lack of expertise. This is the 2nd TAVI procedure performed in Assam and the 3rd in the entire North-Eastern region.



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