Apollo DRDO Hospital, Kanchanbagh, Hyderabad has performed a highly complex CABG surgery along with a mitral valve replacement and left ventricle reconstruction at the hospital on a 65 yr old patient, Sudhakar Reddy. The surgery was performed by Dr Rajeev Trehan, consultant cardio-thoracic surgeon and a team of cardiothoracic surgeons at the hospital.

On evaluation through a PET CT at Apollo DRDO Hospital, Reddy was found to have Coronary Artery Disease (CAD) with severe leakage of mitral valve of heart and a huge LV Aneurysm – wherein the heart had bloated like a bag. The case was a high risk one in view of the poor general condition of patient and his advanced age, poor pumping capacity of his heart (24 per cent) and the long duration of the surgery. Such incidence of patients suffering from these three lesions simultaneously is around 4 per cent.

According to Dr Rajeev Trehan, most cases cardiac surgeons see are for CAD alone, however in this rare case the patient had multiple problems and each one of them was complex in itself. The patient had to be treated for all three lesions of the heart, for him to recover and all this had to be done in one go, which was extremely high risk. For me and my team this case was a huge challenge. Though we had never done such a surgery, we went ahead to save the patient from the trauma.

The surgery was performed on August 24, 2012, spread over eight hours involved reconstruction of the left ventricle (called as LV restoration), replacement of the mitral valve and a bypass surgery by a team headed by Dr Rajeev Trehan, Cheif cardiac surgeon, Dr Mozahid Manzer Wahidi, cardiac anaesthetist, nurses and para-medical staff.

Dr Trehan pointed out that it is for the first time that these three procedures of the heart were performed simultaneously, in the state of Andhra Pradesh.