Imphal May 25,
SKY Hospital, Imphal West yet again saved the life of a patient Mr. Lamzasuan Guite, 45 years male resident of Churchandpur District. He has been suffering from Rheumatic Heart Disease, Severe Mitral Stenosis (blocking of blood flow through the main valve of the heart called Mitral Valve). He was advised to undergo open heart surgery for the replacement of the blocked valve. On careful cath study and angiogram in the highly specialised cardiac Catheterisation Laboratory (Cath Lab) of SKY Hospital on 4th May, 2019. Dr. L Shyamkishore and his teammates found that this patient’s heart valve stenosis could be treated with Balloon Dilatation of the stenosed (blocked) valve and open heart surgery could be avoided.
After obtaining an informed consent, Mr. Guite was treated with Balloon Dilatation of the stenosed mitral valve (Mitral Stenosis). In the Cath Lab with additional help of Echocardiography machine, the Balloon (made in Japan) in deflated state was inserted in the right femoral vein at the groin level. It was negotiated into the heart through right atrium then through the already punctured interatrial septum into left atrium, then through the stenosed mitral valve into the left ventricle. The final position of the Balloon was precisely adjusted across the mitral valve under fluoroscopy screening (Fig.1). All precautionary measures including Defibrillator, Ventilator, Intra-Aortic Balloon Pump were kept ready for any eventuality during balloon inflation. During such inflation, the circulation through heart stops and also throughout the body. During this momentary arrest of circulation cardiac arrhythmia (VT/VF) can occur. For Mr. Guite, no untoward complication occurred and he tolerated procedure well. Echocardigram done just after the procedure revealed that the stenosed (blocked) mitral valve has successfully opened up very well allowing blood to flow freely
Notably, Dr. L. Shyamkishore was one of the team of cardiologists of AIIMS who started this procedure (Mitral Valve Balloon Dilatation) at AIIMS, New Delhi in 1986. He appealed to the people of Manipur to be aware of the recent and modern treatment of heart valve stenosis with balloon without open heart surgery. Such facility is available in the state of Manipur at SKY Hospital.