All news 08.08.2018

A LARGE MULTIDISCIPLINARY TEAM SAVED A 53-YEAR PATIENT WITH CRITICAL AORTAL STENOSIS AND A COMPLETELY STOPPED HEART

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Doctors from various specialties attended the operation – cardiologists, cardiac surgeons, vascular surgeons and anesthesiologists

A big multidisciplinary team at Acibadem City Clinic Cardiovascular center led by Professor Ivo Petrov, saved the life of a 53-year-old man with an extremely enlarged heart and poor pumping function. Physicians from different specialties participated in the TAVI surgery: anesthesiologists, cardiologists, cardiac surgeons and vascular surgeons. 

The man was admitted to the hospital in critical clinical condition, near death. The pump function of the heart (one of the main characteristics determining the forecast), was only 15%, and in most cases this value of blood pressure is incompatible with life. In such a severe situation, an open surgical treatment is associated with an extremely high death rate, and the only option for this patient is placing a transcatheter aortic valve (TAVI).

The implantation itself was performed in the way of indirect cardiac massage, and the patient's heart had been practically stopped. This made the procedure extremely risky, and fortunately, after the catheter valve was very precisely implanted, and thanks to the efforts of the team – external cardiac massage, medications to support the cardiac function, and as a result of the corrected aortic stenosis, the heart gradually began to recover its function. Only after the critical period of about 6 hours, while the patient was in artificial ventilation and medication circulation, he gradually started to restore his kidney functions and the heart function improved accordingly”, Prof. Ivo Petrov, the National Consultant in Invasive Cardiology and Medical Director at Acibadem City Clinic Cardiovascular Center commented on the case.

“Particularly the insertion of a percutaneous valve is the best expression of understanding and cooperation among specialties thus leading to the best solution for the patient. This was a very serious case, and although he was a young man, he was too late, and things were dramatic, including a severe state of the procedure, as the heart stopped temporarily before the essential part of the procedure began. However, the team did it perfectly, the heart started working, and the valve was placed. The man was stabilized and everything ended very well”, Prof. Julia Jorgova, one of the doyens of invasive cardiology in Bulgaria, expressed her satisfaction.

Transcatheter (percutaneous) aortic valve replacement (TAVI) is a minimal invasive intervention, where the heart is reached through the femoral artery using a catheter, and the valve prosthesis was unfolded and placed. The procedure has many advantages, compared to an open surgery. Recovery is much faster, and patients can soon return to their daily routine life.