Successful Coronary artery bypass grafting surgery in Elderly with poor Lung Function [At Nanavati Hospital]

Dr. Pavan Kumar, Dr. Borkar, Dr. Amit Modi, Dr. N. Kothari, Dr. Asmita Hegde

Department Of Cardiac Surgery

A 75 yr old gentlemen, suffering from severe bilateral bronchiectasis for last 20 yrs due to chronic smoking of 40 yrs duration . This had severely reduced his lung functional capacity along with this he also had severe Triple vessel coronary artery disease .

His left ventricular function was also severely depressed to 20% of normal . He underwent myocardial perfusion scan to know the viability of heart muscle which showed sufficient viability.

He underwent quadruple vessel coronary artery bypass surgery on 31 / 3/ 2004 at Nanavati Hospital. Operation was performed by Dr. Pavan Kumar and special device “ Centrifugal Pump” was used to protect vital organs like Lungs, Kidneys and brain better. His operative and post operative period was smooth and uneventful due to use of advanced technique of centrifugal pump and early extubation.

The patient remained in the ICU for 3 days after which he was shifted to the ward. His stay in the ward was uneventful and so was discharged after 5 days. He followed up with us 5 months later which showed an improvement in LV function (32%) and a significantly better effort tolerance.