Kolkata doctors give new lease of life to 41-year-old man suffering from severe congenital heart valve disorder

Doctors in Kolkata have successfully treated a 41yearold businessman from Kharagpur who was diagnosed with a severe congenital heart valve disorder giving him a new lease of lifeThe case was particularly challenging due to a rare and highrisk airway condition requiring the cardiac surgery and anaesthesia teams at a hospital in the city to work in close coordination to ensure a safe and successful outcomeThe patient was suffering from severe aortic stenosis a lifethreatening condition where the main valve that controls blood flow from the heart becomes critically narrow This was due to a bicuspid aortic valve a birth defect in which the valve has only two flaps instead of three causing it to malfunction earlier in life The patient also had a ventricular septal defect VSD a hole in the wall separating the lower chambers of the heart allowing blood to flow abnormally Adding to the complexity the patient had severe anxiety requiring longterm medication and an extremely restricted mouth opening of just one finger width making routine anaesthesia and airway management highly dangerous Even minor changes in heart rate or blood pressure in such cases can prove fatalTo minimise these risks the medical team planned an advanced and carefully controlled technique known as Awake Nasal Tracheal Intubation where the breathing tube is gently placed through the nose while the patient remains awake and breathing on his own avoiding sudden stress on the heart Despite the patientrsquos anxiety and complex condition the procedure was completed without any drop in oxygen levels or instability in vitals This was followed by successful heart surgery led by Dr Kaushik Mukherjee in which the damaged valve was replaced and the hole in the heart was closedThe surgery and recovery went smoothly without any complications He was discharged on the fourth day after surgery and is now recovering well at home smiling and steadily regaining his strength under regular followup careExplaining the complexity of the case Dr Kaushik Mukherjee consultant ndash Cardiothoracic Surgery Manipal Hospital Dhakuria said ldquoThe patient had two serious heart conditions along with an extremely challenging airway Severe aortic stenosis requires strict control of heart rate and blood pressure as even minor stress can be dangerous With detailed planning and teamwork we were able achieve an excellent outcome What made the case especially rewarding was the patientrsquos trust in our team Despite the complexity and his anxiety he remained calm throughout the process and to see him recover well and walk home smiling was deeply satisfying for all of usrdquoSpeaking about the anaesthesia challenge Dr Nilanjan Chakrabarty consultant ndash Cardiac Anaesthesia at the hospital added ldquoWith such limited mouth opening and severe anxiety conventional intubation was not an option Awake nasal intubation allowed the patient to continue breathing on his own eliminating the risk of airway failure or cardiac instability Managing this smoothly in a highrisk cardiac patient reflects careful technique experience and constant reassurancerdquoExpressing his gratitude the man said ldquoAfter speaking to doctors at several hospitals across the country I finally decided to get treated under Dr Kaushik Mukherjee I was very anxious but the team took the time to explain every step which really put me at ease From surgery to recovery the care and compassion I received were truly reassuring I am grateful to the entire team for helping me heal and return home with confidence and a smilerdquo