Lucknow. Mitral valve replacement was successfully performed on a patient suffering from the rare physical condition of dextrocardia and situs solitus by the Department of Cardiothoracic and Vascular Surgery, Dr. Ram Manohar Lohia Institute of Medical Sciences.
Dextrocardia is a rare congenital condition in which the heart is located on the right side of the chest instead of its normal left side position, whereas in situs solitus the internal organs of the thorax and abdomen are normally arranged.
Performing heart surgery in such an abnormal anatomical structure is technically challenging. It requires surgical planning tailored to the changing condition of the heart, accurate anatomic identification, specialized operative skills, and good coordination between different medical teams.
This challenging surgery was successfully led by Prof. Dr. D.K. Done by Srivastava. Under his leadership, Dr. Tirna Mandal, Dr. Vivek Kunwar, Dr. Sharanya Ray, Dr. Juhi Srivastava and Dr. Shaurya Bhatnagar played important roles in the surgical team and as senior residents. During the surgery, the important responsibility of anesthesia and perioperative management was performed by the anesthesia team of Dr. Virendra Kumar and Dr. Kapil.
Neha Paul and Kaustubh of the nursing team and Shailendra, Priyanka and Sonali of the perfusion team also had important contributions in making this complex process successful. This challenging heart surgery was successfully completed due to the dedication, technical proficiency and mutual coordination of all the team members. Following the surgery, the patient was transferred in stable condition to the Cardiothoracic and Vascular Surgery Intensive Care Unit, where the patient is undergoing further monitoring and post-operative care.
This achievement is an excellent example of the medical proficiency, surgical skills and multidisciplinary teamwork of the Department of Cardiothoracic and Vascular Surgery of the institute. It also reflects the Institute's growing capacity to treat complex and rare heart diseases and provide advanced cardiac surgery services. This successful surgery is a testament to the dedication, commitment and collective efforts of the entire cardiac surgery, anesthesia, nursing and perfusion team.