RAJKUMAR DAS: 35-year-old Santanu from Howrah started having uncontrollable high blood pressure for which he went for a checkup. Investigations revealed that he had bicuspid (two leaflets) valve instead of tricuspid (three leaflets) valve. All normal human beings have tricuspid aortic valve in heart. Apart from that, the CT angiography of his aorta revealed coarctation (congenital narrowing) of aorta. Due to the complexity of the procedure, many hospitals refused to operate on him. He then landed in Apollo Multispecialty Hospitals, Kolkata.
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He was prepared for the endovascular stenting procedure of his coarctation of aorta under the guidance of a team of doctors including Dr Bikash Majumdar, Dr Aftab Khan, Dr Tamasish Mukherjee and Dr Yaman Kalita. The aorta is the largest artery in the body, which moves oxygen-rich blood from the heart to the rest of your body. Aortic Coarctation or narrowing of the aorta forces the heart to pump harder to move blood through the aorta.
Speaking about it, Dr Bikash Majumdar said, “This congenital condition, Coarctation of Aorta, is as rare as 4 in 10,000 live births. Out of all congenital heart problems, only 6% have this issue. And normally it is detected in childhood (within teenage) when the treatment is much easier and the prime symptom is High Blood Pressure in childhood.”
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Dr Aftab Khan said, “Due to adult age, possibility of aortic rupture is high when patients with Coarctation of Aorta are treated post childhood. In Mr Santanu’s case, Chetham Platinum aortic stent was placed after a balloon dilation and to handle the complexity, a normal stent of 60 mm had to be hand mounted to cover 49 mm length of the narrowing. The balloon helped in widening the narrow aorta making the width normal for blood flow. The case had difficulty in stent expansion as well as chances of stent migration was also very high due to the age.”
Mr Santanu was operated in February 2022 post which he is leading a normal life. If he was not treated then his condition could have been fatal with chances of stroke and long-term cardiac complications due to high blood pressure. This procedure was performed in the cardiac catheter laboratory under general anesthesia thorough the right femoral artery route (right groin route).
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