Fortis Escorts Heart Institute was yet again presented a challenge with 62 year old Mutwakil Muhamed Ahmed Abunayeb suffering from medical conditions leading to deterioration in the functioning of his heart. Dr Yugal Kishore Mishra, Director, Cardiac Surgery, Fortis Escorts Heart Institute and Dr Atul Mathur, Director, Invasive Cardiology, Fortis Escorts Heart Institute formed the team to conduct Endovascular Stenting on this patient.
Mutwakil Muhamed Ahmed Abunayeb from Sudan was horse riding in his farm when felt a severe chest pain. A patient suffering also from type 2 diabetes mellitus and hypertension he scheduled a routine check-up for himself. Primary investigation in Sudan revealed a problem in the descending aorta but he was unconvinced about the exact condition of his heart. He then began his pillar to post journey to various hospitals in different countries in an attempt to find a doctor to get his heart condition rectified but met with no success. Not only was he diagnosed and informed that he was carrying a ruptured aorta since the past few months but the treatment was impossible as his weight posed the biggest problem. Even bariatric surgery could not be conducted due to his cardio-vascular heart disease. Not disheartened he finally came to Fortis Escorts Heart Institute.
Further investigations at Fortis Escorts revealed complications in respiratory system and bilateral acute brain and neurovascular bundles with leaking descending aorta. His obesity presented a bigger challenge compared to his other complications, hypertension and type 2 diabetes mellitus. His excessive weight burdened his heart with a higher ejection fraction than supply. His condition was deemed him unfit for general anesthesia as he would have required a ventilator and may not have recovered from the dependency on the machine.
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