Man survives 17 blocks in heart. Dr. Panda uses a record number of 12 grafts to fix Dhoka’s heart
Mithalal Dhoka, a businessman from Yadagiri district of Karnataka, has such a unique heart that it may just earn him a mention in the Guinness Book of World Records..
After the surgery he was shifted to the ICU for 2 days and after that to the wards.
He was stable and Mobilized during the discharge.
Not only did he have 17 blockages in the various arteries of the heart, city heart surgeon Dr Ramakanta Panda used a record number of 12 grafts-or surrogate blood vessels to restore blood flow -to fix Dhoka's heart. "The highest number of grafts used in previous cases was eight. I had to use 12 grafts as his heart is very different," Dr Panda, who is applying to the Guinness Book for a mention, said.
The biggest difference is that while most patients with heart problems have 3 or 4 blocks, Dhoka had 17 blocks. An angiogram taken before the surgery showed a series of tiny arteries crisscrossing his heart. "Instead of having three major arteries that are normal, Dhoka had more than 12 arteries that were all 1mm in diameter," Dr Panda, who operated on Dhoka in Asian Heart Institute, Bandra-Kurla Complex, on February 12, said.
Heart surgeon Dr Sripal Doshi called it the most unusual news. "Clearly, the patient had an unusual number of small arteries or tributaries. Kudos to the surgeon for managing 12 grafts," he said.
The nature of Dhoka's heart disease stems from his long-standing diabetes. "I have been a diabetic for 30 years and have been taking insulin for the last seven years," he said.
It is now a well-established fact that Indians are more prone to heart disease. Diabetes, another disease that Indians are very prone to, is a risk factor for heart disease. According to Dr Panda, Indians also tend to have multiple blockages. So, while most Westerners need between 3 and 4 grafts, Indians need double the number.
In fact, this is the topic of his next research. "I have operated on 500 patients in the 20 to 80 age group who have had more than six grafts. Around 90% of the patients had diabetes," said Dr Panda. He is in the process of calling each of these patients back for a checkup so that he can chronicle how well they are doing. "Clearly, Indians need more grafts and there is a way to do it," he added.
Dhoka couldn't agree more. A CT angiogram done after the surgery showed that each of the 12 grafts was working well. "He underwent a stress test which showed that while running an equivalent of 7 km an hour, his heart was getting full blood supply," said Dr Panda.