Expert Pulmonary Endarterectomy Care At Dr Udgeath Dhir
Pulmonary endarterectomy is a complex surgical procedure designed to treat chronic thromboembolic pulmonary hypertension (CTEPH), a condition that can arise from blood clots that obstruct the pulmonary arteries. This surgery aims to remove the blockages and restore normal blood flow, significantly improving the patient’s quality of life.
Understanding Pulmonary Endarterectomy
Pulmonary endarterectomy is a surgical procedure that removes old blood clots and scar tissue from the pulmonary arteries in the lungs.
Pulmonary Endarterectomy (PEA) is the preferred treatment for pulmonary artery obstruction in patients with chronic thromboembolic pulmonary hypertension (CTEPH), and it may be curative in some cases. Only a few heart surgical centers currently have expert experience in performing PEA and Dr Udgeath Dhir’s center is one of them. The procedure itself is technically demanding, necessitating specialized training and sophisticated post-operative intensive care. PEA, on the other hand, is an effective and highly successful procedure with careful patient selection, meticulous surgical technique, and post-operative management, with experienced high-volume centers.
Pulmonary endarterectomy (PEA) involves the surgical removal of organized blood clots from the pulmonary arteries. Unlike conventional bypass surgery, which reroutes blood flow around a blockage, PEA aims to eliminate the blockage itself. This procedure is crucial for patients suffering from CTEPH, which can lead to severe complications if left untreated.
Indications for Surgery
The primary indication for pulmonary endarterectomy is chronic thromboembolic pulmonary hypertension. Patients who may benefit from this surgery typically present with:
- Shortness of breath
- Fatigue
- Chest pain
- Swelling in the legs
Diagnosis often involves imaging studies, including echocardiograms and CT pulmonary angiograms, which help determine the extent of blockages and the overall severity of pulmonary hypertension.
What is the purpose of a Pulmonary Endarterectomy?
Blood clots can become lodged in the pulmonary arteries in some patients (pulmonary embolism, or PE). To allow the clots to dissolve, PE is treated with blood thinning medication (anticoagulants).
These clots can sometimes persist and remain adherent to the artery wall. The clots are gradually replaced by scar tissue, resulting in chronic obstruction of the pulmonary arteries, resulting in restricted blood flow and high blood pressure through the lungs. Chronic thromboembolic pulmonary hypertension (CTEPH) is a rare condition.
When you have pulmonary hypertension, your heart’s right side is more strained than usual. This means you’re frequently out of breath and tired. Swelling in your stomach and legs is also possible.
A pulmonary endarterectomy removes the blood clot and scar tissue that has clogged the arteries, restoring blood flow and normal blood pressure in the lungs and relieving pressure on the right side of the heart. When these clots are removed from the arteries, the heart and lungs will function more efficiently, and your overall health and well-being will improve.
If you or your loved one is seeking help with pulmonary endarterectomy, Dr Dhir can assist you the way you want. Fix your appointment today and take a step forward towards a healthy life.
Who is a Candidate for PEA?
Candidates for pulmonary endarterectomy generally include:
- Patients with confirmed CTEPH who have not responded to medical therapy.
- Individuals whose pulmonary artery obstructions are amenable to surgical removal.
- Patients with good overall health and functional status.
A comprehensive evaluation by a multidisciplinary team of specialists is essential to determine candidacy.
The Pulmonary Endarterectomy Procedure
Preoperative Assessment
Before undergoing pulmonary endarterectomy surgery, patients will undergo a thorough preoperative assessment. This includes:
- Medical History Review: Understanding the patient’s health background, previous treatments, and current medications.
- Physical Examination: Assessing cardiovascular and respiratory health.
Imaging Studies: Detailed imaging to map out the location and extent of blockages.
Surgical Procedure
Pulmonary endarterectomy is performed under general anesthesia. The surgery typically involves the following steps:
- Accessing the Heart and Lungs: A median sternotomy (opening of the chest) is commonly performed to access the pulmonary arteries.
- Cardiopulmonary Bypass: The patient is placed on a heart-lung machine, which takes over the job of pumping blood and oxygen during surgery.
- Removal of Clots: The surgeon carefully removes the organized thrombus (blood clots) from the pulmonary arteries, ensuring minimal damage to the surrounding tissue.
Closure: After the clots have been removed, the surgeon will restore blood flow and carefully close the chest.
Postoperative Care
Post-surgery, patients are typically monitored in a specialized cardiac care unit. Recovery may involve:
- Pain management
- Respiratory therapy
- Gradual mobilization to prevent complications
Benefits of Pulmonary Endarterectomy
Pulmonary endarterectomy offers numerous benefits, especially for those suffering from CTEPH:
- Improved Symptoms: Many patients experience significant relief from symptoms such as shortness of breath and fatigue.
- Enhanced Quality of Life: Successful surgery can lead to a return to normal activities and improved physical endurance.
Potentially Life-Saving: By removing blockages, PEA can prevent the progression of pulmonary hypertension and related complications.
Risks and Considerations
As with any major surgery, pulmonary endarterectomy carries potential risks, including:
- Infection
- Bleeding
- Stroke
- Anesthesia complications
However, the overall risk of serious complications is relatively low, especially when performed in experienced centers.
Choosing the Right Surgical Center
If you are considering pulmonary endarterectomy surgery in Gurgaon, look for hospitals and surgical centers with a strong reputation for cardiovascular procedures. Key factors to consider include:
- Expertise of the Surgical Team: Ensure that the surgeons have extensive experience in performing PEA.
- Facility Accreditation: Look for hospitals accredited by national health organizations.
Postoperative Care Facilities: Quality postoperative care is crucial for recovery and minimizing complications.
Pulmonary Endarterectomy Surgery in Delhi NCR
Delhi NCR offers several top-tier medical facilities for pulmonary endarterectomy. Research hospitals that specialize in pulmonary and cardiovascular surgery. Consider the following:
- Patient Reviews: Read testimonials from previous patients regarding their experiences and outcomes.
Consultations: Schedule consultations with the surgical team to discuss your case and understand the proposed treatment plan.
Why Choose Dr Udgeath Dhir as the Best Cardiologist in Gurgaon?
Choosing a cardiac vascular surgeon is one of the most critical decisions one can make, as it directly impacts your heart health and overall well-being. Dr. Udgeath Dhir understands the gravity of this decision and strives to provide unparalleled cardiac care. Here’s why we are considered the best cardiac surgeons in India.
- Advanced Expertise
As the best heart specialist in Gurgaon, Dr. Udgeath Dhir has the latest medical technology, which plays a crucial role in successful cardiac surgeries. He has undergone rigorous training and holds certifications from prestigious institutions that help conduct complicated procedures.
- Advanced Diagnostic Tools
Accurate diagnosis is the cornerstone of effective treatment. Dr. Udgeath Dhir utilizes advanced diagnostic tools, including 3D echocardiography, cardiac MRI, and CT scans, to provide precise and detailed images of the heart. This allows for accurate assessment and planning of the surgical procedure.
- Treatment Plans That Suit Your Heart Conditions
Every patient is unique, and so are their heart conditions. Developing treatment methods that are tailored to each patient’s specific needs. This approach ensures that every aspect of their condition is addressed, providing the best possible outcomes.
- Preoperative Care
Our commitment to patient care begins long before surgery. We as the best cardiologist in Delhi NCR provide thorough preoperative evaluations and counseling to prepare patients physically and mentally for surgery. This includes detailed discussions about the procedure, potential risks, and postoperative expectations.
- Postoperative Support
Recovery from cardiac surgery is a critical phase. Our comprehensive postoperative care includes regular follow-up appointments, rehabilitation programs, and lifestyle counseling to ensure a smooth and successful recovery.
- Compassionate Care
Dr. Udgeath Dhir understands that undergoing cardiac surgery can be a stressful experience. Our team is committed to providing compassionate care, ensuring that patients and their families feel supported and informed throughout the entire process.
- Transparent Communication
Clear and open communication is vital in healthcare. Dr. Udgeath Dhir, the best cardiologist in Gurgaon, provides detailed explanations and involves patients in the decision-making process, fostering trust and confidence.
Unmatched Skill
Dr. Dhir is not just a cardiac surgeon; he’s an artist in the operating room. His exceptional skills have been honed through countless surgeries, each one contributing to his mastery of the craft. Whether it’s a complex procedure or a minimally invasive technique, his precision ensures the best possible results.
- Convenient Location
His expert services are available with convenient appointments online, making it easily accessible for patients from all over Gurugram and Delhi NCR.
- Patient-centered Approach
What truly sets Dr. Dhir apart is his patient-centered approach. He understands that your heart health journey is deeply personal. With compassion as his guiding principle, he ensures that you and your loved ones are supported every step of the way. You’re not just a patient; you’re a valued individual on a path to a healthier heart.
A Pioneer in Minimally Robotic Surgery
Dr. Dhir’s mastery of advanced robotic surgical techniques broadens the possibilities of minimally invasive cardiac procedures. His expertise translates into shorter recovery periods, reduced post-surgery discomfort, and precise outcomes, all aimed at improving your well-being and quality of life.
- Holistic Approach to Heart Health
We adopt a holistic approach to heart health, addressing not just the physical aspects of cardiac conditions but also the emotional and psychological well-being of our patients.
Restoring the Rhythm of Life
Pulmonary endarterectomy is a critical intervention for patients suffering from chronic thromboembolic pulmonary hypertension. With the right diagnosis and surgical expertise, this procedure can lead to significant improvements in health and quality of life. If you’re exploring options for pulmonary endarterectomy surgery by the best heart specialist in gurgaon, consult with a specialized healthcare provider to assess your candidacy and discuss the best course of action.
If you are interested in learning more about pulmonary endarterectomy or would like to schedule a consultation for minimal invasive surgery in gurgaon, contact Dr Udgeath Dhir today. Your journey to better lung health starts here.
Frequently Asked Questions
With every surgery, some risks are associated. And, the same is the case with Pulmonary Embeloctomy and Endarterectomy. Some of the risks you may face are listed below:
- Abnormal heart rhythms
- Infection
- Bleeding
- Kidney problem
Fluid in lungs
You’ll spend a few days in the Intensive Care Unit (ICU) following your pulmonary endarterectomy. You will be hooked up to machines that will monitor your heart rate, blood pressure, body temperature, and breathing.
When you are ready to leave the ICU, you will be transferred to the cardiac ward for a few days.
You’ll need to do the following two weeks before your surgery:
- Check with Dr Udgeath Dhir and the team about your medications; some may need to be discontinued before surgery.
- Plan your return transportation – it is your responsibility to plan your return home after surgery.
Prepare your home for when you return from the hospital by arranging for someone to pick you up from the hospital and assist you with meals, cleaning, and driving.