Vadodara: A 41-year-old man who had large life-threatening blood clots in both right and left pulmonary arteries got a new lease of life after undergoing mechanical thrombectomy (removal of blood clot from artery or vein) at a city-based hospital.
The patient faced severe shortness of breath, fatigue and giddiness. He and his family were worried as medicines were not improving his condition.
The 2D Echo and ECG revealed that the patient had elevated right-sided heart pressure suggesting pulmonary embolism. His CT pulmonary angiography indicated large blood clots in both his pulmonary arteries which if increased can prove fatal.
After he was admitted to the ICCU at Baroda Heart Institute and Research Centre, he was given thrombolytic therapy, a clot-dissolving medicine, for 24 hours. Yet, his right-sided heart pressure did not reduce.
“The patient was very critical and required ventilator support. In such situations, pressure in the lungs rises, the heart starts failing and as the blood flow to the lungs gets reduced due to occlusive clots, the oxygen levels in the blood start falling to dangerous levels which become incompatible with life,” Dr Parvindar Singh, an interventional cardiologist told TOI.
“Clots in the lungs needed to be removed urgently to save his life. Open heart surgery in such a situation carries a very high risk,” said Singh, who along with the team of interventional cardiologists — Dr Mahesh Basarge, Dr Falgun Panchal, Dr Husain Bhatia, Dr Sagar Shah, Dr Sheshrao Pawar decided to undertake a high-risk life-saving intervention.
Using a specialized device, special tubes were negotiated through the heart into the lung arteries and the clots were gradually sucked out of the main and the major branches of the pulmonary arteries.
“Patient underwent successful mechanical thrombectomy of pulmonary artery. During the procedure as the clots were removed his condition stabilized, oxygen levels improved, blood pressure stabilized, and he could be taken off ventilator support. He has now been discharged,” said Singh.
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