Patient Case Histories
Case Type: CRT-P
42 yrs, active, office executive, gave up work for recurrent heart failure with frequent hospitalization. CRT-P device was implanted which improved her pumping action significantly. Medication reduced no further hospitalization.
Back to active work and happy life.
Click here for Video of “Weak Heart Pumping before CRT” Click here for Video of “Improved Heart Pumping after CRT”
Case Type: ICD
46 years. 1st admission January 2013. Pulseless, unrecordable blood pressure, unconsciousness. CCU monitor - life threatning heart rhythm, which causes death(VT).
Rhythm restored in CCU by external electric shock. Life saved. Discharged on rhythm controlled medication with advice for urgent ICD implantation.
Readmitted 3rd August 2013, unconscious, no pulse, no BP, VT again shocked, saved. ICD implanted August 2013. Post discharge, at work, ICD activated by VT, shocked and patient saved outside hospital, not requiring further admission.
Click here for Image of VT & Shock...
Arrhythmia Episode List...
Case Type: CRT-D Implantation in Complex Situation
When the heart is displaced since birth to the opposite side (dextrocardio) CRT-D (CRT-P + ICD) implantation becomes a complex procedure.
This 57 years old gentleman with heart displaced to the right side as seen in this X-Ray was implanted with CRT-D device to prevent recurrent admission with heart failure. He was in end stage heart failure on maximal medication with past history of recurrent heart failure.
After CRT-D goes home walking and is well with no further heart failure. He was admitted recently once with shock delivered by ICD device converting life threatening rhythm (VT) to normal rhythm at home. Discharged same day.
Case Type: Prevention of Brain Stroke by Stenting
55 year old woman with temporary weakness of left arm and leg with immediate recovery was found to have blockage in right neck vessel (Right Carotid Artery). Small fat particle had temporarily dislodged into her brain circulation leading to the above symptoms.
Larger particles usually lead to brain stroke. She underwent Treatment by Stenting of Right Carotid Artery (Carotid Angioplasty) on 06.07.2012 with Distal Protection Device. Distal Protection Device prevents clots from entering into brain circulation during stenting causing brain stroke during stenting procedure. She’s doing well till date with no subsequent recurrence of symptoms and no brain stroke.
Picture below show stenting of Right Carotid artery with no residual blockage. Left carotid artery had no blockages.
Case Type: Importance of FFR in Complex Multivessel Disease
46 years old gentleman was referred for Bypass Surgery because of main three heart artery blockage.
FFR study done on 08.04.2013. It confirmed that only single artery blockage was critical. Hence single vessel stenting was done in same sitting.
For details of FFR, please visit the Patient FFR Details Page
Case Type: Indication of IVC Filter
56 yr old gentleman was admitted with painful, unprovoked, severe swelling of left leg.
Dopler ultrasound confirmed clotting in left leg veins.
Complication: Clot dislodgement from leg to lungs causing pulmonary embolism and sudden death.
Treatment: Clot buster injection was administered to dissolve clots in leg and IVC Filter was placed above leg veins (IVC) to trap particles dislodged during dissolving clots and prevent lung complication (Pulmonary Embolism) leading to sudden death during treatment.
Case Type: Treatment of abdominal aortic aneurysm by non-operative Endo-Prosthetic Device Insertion (AAA)
72 year old male with increasing abdominal and lower back pain. Gastroenterologist and Orthopaedic consultation were normal.
Diagnosis: Large abdominal aortic aneurysm diagonised by abdominal ultrasound. Above symptoms were suggestive of impending rupture of sac causing death.
Treatment: Stenting done with a self expanding stent covered by Teflon. This stent comes compressed and is passed from leg and released below kidney arteries within the sac from healthy segment of blood vessel above the sac to below the sac. Blood then flows through tube (covered Stent) preventing blood leaking into surrounding sac. The blood trapped in the sac clots and the sac shrinks and aneurysm disappears.
Final results in video 4 confirms blood flowing from normal section of abdominal aorta flows through stent (covered tube) to both legs with no leakage into aneurysm sac.