23 year old Ganesan met with an accident, rushed to Global Health City
with acute cardiac rupture; a high end complex heart surgery removed 2 liters
of accumulated blood.
Chennai, 19th November
2014: Ganesan
a 23 year’s old
generally fit contract labourer, native of Salem met with an accident at a
construction site and became unconscious. After first aid and due care, he was presented
with critical heart injury. Investigations revealed an acute heart rupture and
Temponade (compression of heart due to blood in the pericardial sac). Patient
required an emergency open heart surgery to solve the acute rupture.
Open Heart Surgery: The Patient underwent an emergency surgery on 5th
Nov. During the surgery around 2 litres of blood accumulated on the
pericardial cavity was identified and his heart function was compromised due to
severe cardiac Tamponade (compression of heart due to blood in the pericardial
sac). As soon as surgeons opened the pericardium they sucked the blood with
special blood recycle machine (Cell saver) and transfused the same to the
patient again. After relieving the cardiac rupture measuring 3 cm at the left
atrial and left pulmonary vein junction was repaired, and the patient survived
the injury.
Speaking on the occasion Dr. Govini Balasubramani, Consultant –
Cardio Thoracic surgeon, said “It
is a difficult task to save a patient with acute cardiac rupture due to Chest
wall Injury. Distension (swelling) of the neck vein, CT scan Chest and
echocardiograms suggested cardiac tamponade (compression of heart due to
blood in the pericardial sac), due to
cardiac rupture. In patients surviving the initial insult, the overall
mortality rate is 60%-90%. He was presented with a hypotension (low blood
pressure), distension of neck veins, intact pericardium and cardiac tamponade.
The diagnosis confirmed with emergent CT chest and echocardiography prior to
operative intervention. Repair performed by median sternotomy (a kind of
surgical procedure) and the potential necessity for cardiopulmonary bypass. We
conclude rapid prehospital transportation, a high index of suspicion, and
prompt surgical intervention contribute to survival in these patients. On this occasion
I would like to thank my team of doctors, nurses and perfusionist and
administrators who had helped in saving the patient’s life.”
Great consultants in cardiac sciences - Global Hospitals
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