Cardiac Sciences

A 65-year-old male patient, weighing 44 kg, presented with long-standing coronary artery disease, a recent myocardial infarction, critical multivessel disease, unstable angina, and severe left ventricular dysfunction with a left ventricular ejection fraction (LVEF) of 20–25%. Considering the complexity of his condition, he underwent coronary artery bypass grafting (CABG) under the care of the expert cardiac team.

The procedure was successfully performed, with the patient requiring minimal inotropic support and no intra-aortic balloon pump (IABP). He was extubated within four hours, reflecting a stable and well-managed immediate postoperative course.

Post-surgery, the patient was closely monitored and managed with a highly calibrated clinical approach. Advanced hemodynamic support strategies, including the timely use of an intra-aortic balloon pump (IABP), along with optimised inotropic management, judicious fluid administration, and targeted medical therapy, ensured effective systemic and organ perfusion.

Over the next few days, the patient demonstrated steady clinical improvement, with stabilising metabolic parameters, improving organ function, and gradual return to normal physiological activity. This enabled the phased withdrawal of advanced support measures, including ventilatory and circulatory assistance.

Following a structured period of intensive care and rehabilitation, the patient was discharged in stable condition. The case highlights the team’s expertise in managing complex high-risk cardiac conditions with precision, resulting in a successful recovery.

Treatment By:
Dr. Rachit Saxena, Dr. Vikas Kumar Keshari, and Dr. Kushant Gupta

A 4-year-old, 11 kg child was brought to the Department of Pediatric Cardiac Sciences at Yashoda Medicity, Indirapuram, with complaints of bluish discoloration of fingernails and toes, poor weight gain, easy fatigue on walking, and recurrent hospital admissions. 
Clinical evaluation revealed an oxygen saturation of 75%, prompting further investigations including echocardiography and CT pulmonary angiography.

The child was diagnosed with Cyanotic Congenital Heart Disease known as Tetralogy of Fallot (TOF), with additional apical muscular VSD and a hypoplastic pulmonary annulus.

The patient underwent open-heart surgery called Intracardiac Repair, including closure of multiple VSDs with a transannular patch over the neopulmonary valve. The procedure was led by Dr. Abhinavsingh Chauhan, Consultant Pediatric Cardio-thoracic and Vascular Surgery. Advanced post-operative care in the Pediatric Cardiac ICU was uneventful, and post-operative echocardiography confirmed a successful repair.

The child was discharged in a stable and ambulatory condition on the 5th post-operative day, with oxygen saturation improving to 99%. This case reflects Yashoda Medicity’s expertise in managing complex pediatric cardiac conditions, combining cutting-edge surgical techniques with specialized intensive care to ensure safe, life-transforming outcomes for children.

Treatment By:
Dr. Abhinavsingh Chauhan