45 year old Ashok Kumar, known case of diabetes (on insulin therapy with morbid obesity has recently underwent a successful heart bypass surgery at Metro Hospital, Faridabad. Morbid obesity is a case where body mass index is more than 35. Patient having a BMI of 46.5, was admitted as a case of coronary artery disease, DVD with obstructive sleep apnea syndrome and severe obstructive pulmonary disease. Patient also has a varicose veins of both lower legs with venous ulcers.
Patient was evaluated with all relevant investigations, like venous doppler study of both lower limbs and arterial doppler study of both upper limbs was done for radial and ulnar artery patency. Patient has undergone off pump coronary artery bypass grafting (OPCABG x3), Total arterial revascularization by using left internal mammary artery and Bilateral Radial Arteries. He had uneventful post-op recovery and was discharged after 6 days. He is doing well on follow-up.
Total arterial revascularization in young patients with diabetes and morbid obesity is associated with improved long term survival in patients and better graft patency rate. “We are very fortunate that we were able to get a second opinion from Dr. Saurabh Juneja and we are delighted that our patient is doing so well after the procedure”, said patient’s relative.
Dr. Saurabh Juneja, head cardiothoracic and vascular surgery said that “coronary artery bypass grafting is often used to treat patients with heart disease. However depending on the number of coronary vessels to be bypassed, veins may be harvested from the legs but here patient has venous ulcers in his both legs and hence, it was decided to perform total arterial bypass in patient with severe morbid conditions to achieve optimum and long term result.
Dr. S.S Bansal, Sr. Interventional Cardiologist & Managing Director, Metro Hospital Faridabad informed, handling such cases holds a great risk, but our cardiac surgeons are well trained and experienced to perform such complicated cases with great ease. He further added, that our surgeon Dr. Saurabh Juneja is having 18 years of rich experience in doing bypass surgeries and his results are of international standards.