South-East Asia’s First 29-Year-Old Man Undergoes Life-Saving Hybrid Cardiac Surgery for Ruptured Thoracic Abdominal Aorta at Fortis Gurugram

Doctors at Fortis Memorial Research Institute, Gurugram achieved a major clinical milestone by successfully performing an exceptionally rare and complex Hybrid Cardiac Surgery on a 29-year-old man with a ruptured and massively dilated thoracoabdominal aorta, a condition with extremely high mortality. This is believed to be the first such reported surgery in South-East Asia.

The patient, Saif Alam from Bihar, arrived in critical condition after months of deterioration, misdiagnosis, and failed treatment attempts across multiple hospitals. His heart function had dropped to 15%, and he faced constant risk of fatal bleeding. Due to the extensive dilation and clotting of the aorta—severely compromising blood flow to vital organs—conventional open surgery was deemed too risky.

On detailed evaluation at Fortis Gurugram, the team of doctors led by Dr Udgeath Dhir, Principal Director – Cardio Thoracic Vascular Surgery, Fortis Memorial Research Institute, Gurugram found that the patient’s entire Thoracic Abdominal Aorta (the largest artery in the body carrying oxygenated blood from the heart down through the abdomen to organs and lower limbs) was severely dilated (abnormally enlarged) and with extensive clots. As a result, blood supply to vital organs including kidneys, liver and intestines was critically compromised. Given the severity of the condition and multiple high-risk factors, conventional open surgery was not feasible, as it carried a very high risk of paralysis, organ failure, and possible loss of life.