Extracorporeal Life Support rescues 53 year old from reversible cardiac failure

 March 04 2016,  14.33 PM IST || Pocket News Alert

Bangalore: M S Ramaiah Narayana Heart Centre attends many cardiac emergency cases daily. However, the case of this 53 year old man was different. He was rushed to the hospital in a very critical condition. Heart function was drastically reduced due to lack of blood supply to the heart. Various organs of the body did not receive sufficient nutrition and oxygen due to the inability of the heart to pump adequately. The patient was in ‘Cardiogenic Shock’.  He also developed severe breathlessness due to excess fluid in his lungs. This was a challenging case for the team specializing in Cardiac Emergency at M S Ramaiah Narayana Heart Centre as the patient’s condition was deteriorating. His breathing was supported with mechanical ventilation; however both his blood pressure and oxygenation continued to be low.

“Since we felt that his condition is potentially correctable and we had already given maximum conventional treatment, we decided to support both his heart and lungs using Extra Corporeal Life Support popularly known as ECLS or ECMO where a pump is used to take over the function of the heart and a membranous oxygenator is used to take over the function of the lungs”, explained Dr. Ravi Shankar Shetty, Consultant Cardiothoracic & Transplant Surgeon at M S Ramaiah Narayana Heart Centre.

During ECMO (extracorporeal membrane oxygenation) the heart and lungs are bypassed and the blood is oxygenated outside the body(extracorporeal) by an artificial lung and circulates with the help of an external pump, allowing the heart and lungs to rest. This is similar to the heart-lung bypass machine used during open heart surgery.

The patient was supported on this system for five days. “His condition had to be intensively and meticulously monitored round the clock during this time”, informed Dr. Ravi Shetty. “He also received multiple transfusions of blood components and by fifth day both his heart and lungs had improved significantly”, he said.

Extracorporeal Life Support was used on a patient who suffered from Myocardial Infarction, which is rare. This treatment modality is not commonly used for this category of patients in India.

About Narayana Health:

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 From the first facility established in Bengaluru with approximately 225 operational beds in 2000, our Company has grown to 56 facilities (which includes 55 facilities in India and 1 facility in the Cayman Islands operated by our Company's associate company, Health City Cayman Islands Ltd.) with 5442 operational beds and the potential to reach a capacity of up to 6,602 beds currently. Narayana Health has a network of 23 hospitals (multispeciality and superspeciality healthcare facilities which provide tertiary care services), 8 heart centres (superspeciality units which are set up in a third party hospital) and 24 primary care facilities (including clinics and information centres), across a total of 31 cities, towns and villages in India. For details, visit http://ift.tt/1gTN1qM

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Narayana Health serves the people of Bangalore through its chain of 7 network hospitals in the city located at Bommasandra, HSR Layout, Whitefield, Indiranagar, Nrupthunga Road, and Mattikere. Narayana Health’s unparalleled heart network in Bangalore comprises of 11 Cath Labs across the city and 134 Cardiologists and Cardiac Surgeons with the best emergency specialists working round the clock.