A 38-year-old patient from Kerala, Binu Nettikardan, who suffered from a rare blood disorder called hemophilia, where the blood does not clot, underwent a complicated open-heart surgery at MIOT International hospital, Chennai.
Two months ago, Binu complained of chest pain while coughing. He was diagnosed with aneurysm; most doctors were hesitant to operate on him as he has hemophilia.
Binu was referred to MIOT International, where, V.V. Bashi, Chairman of Center for Thoracic and Cardiovascular Care, worked with doctors from six different specialties to find a way to operate on him.
Dr. Bashi, said, "The patient came in with a large aneurysm of the ascending aorta, and a leak in the aortic valve. This procedure needs an open heart surgery, but with haemophilia, even the smallest mistake can cause the patient to bleed to death."
A team of six specialists performed a seven-hour surgery. The aorta was replaced with a permanent Dacron graft made of synthetic material because metal or titanium grafts have to be replaced after 10 to 12 years.
"The patient was connected to a heart-lung machine, his heart was stopped, and the ascending aorta replaced with a synthetic graft. The patient's valve was repaired and re-implanted into the artificial graft," said DR. Bashi.
The patient was injected with 2,200 units of anti-hemophilic drug two hours before the surgery. During the surgery, 7,000 units of anti-hemophilic drug were administered every hour to address the issue of blood not clotting.
Doctors claimed this was the first time in the world that a patient with hemophilia had undergone an open-heart surgery. Binu can now lead a normal life and he will be discharged in a day or two.