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TOTAL ARTERIAL REVASCULARISATION TRIPLE BYPASS SURGERY ON
BEATING HEART
A 52-year-old man created local history when he became the first patient in the
UAE to undergo a triple heart bypass that joins chest arteries with a wrist
artery. The patient went to NMC Specialty Hospital complaining
of chest pains for unstable angina. When doctors suggested he undergo the Total
Arterial Revascularisation Triple Bypass Surgery on Beating Heart, which
involves rerouting blood flow through rejoined mammary and radial arteries while
the heart is beating, he agreed.
Now the patient is doing well and almost back to normal, more than two
months after undergoing the procedure.
Dr Girish Chandra Varma, the then chief cardiac surgeon at NMC Specialty
Hospital, said the procedure was a cheaper and safer alternative to the
conventional open heart surgery, which requires surgeons to stop the heart. Low
risks "Because we do not stop the heart for the procedure, we lessen the risk to
the heart, kidney and the brain. The cost is also lower because we don't need to
use the heart and lung machine to keep the blood pumping," he said. He added
that the surgery cuts down recovery time by three to five days. Dr Varma said
the benefits of this procedure was that it provided the best and long-lasting
surgical treatment for patients, through its use of radial and mammary arteries.
"Live arteries mean they can get nutrition from inside the arterial wall, and
mammary arteries will not get fat deposition," he said, adding that it was not a
miracle cure for heart disease. However, despite the obvious benefits, he said
the procedure was not as common or popular as conventional triple bypass because
the beating heart surgery was "technically demanding".
Lima-Radial Y reroutes blood flow to heart Total Arterial Revascularisation
Triple Bypass Surgery on Beating Heart (Lima Radial Y) involves joining mammary
arteries with a radial artery from the wrist. Mammary arteries, also known as
thoracic arteries, run through the chest and torso, carrying blood to the
pectoral muscle and breasts. The surgeon then reroutes blood flow to the heart
through this new conduit of mammary and radial arteries. This is all done over a
beating heart, which keeps pumping blood to the rest of the body. The
conventional method is to stop the heart, depending on a heart-lung machine to
provide oxygen to the organs.
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