Successful Multidisciplinary Management of Acute Stroke, Cardiac Arrest, and Complications at Dr. Jivraj Mehta Hospital, Ahmedabad
Initial Presentation and Diagnosis
Mr. Saiyad, a 75-year-old male with a long-standing history of chronic ethmoidal osteomyelitis and diabetes, was admitted to Dr. Jivraj Mehta Hospital, Ahmedabad, for a polypectomy procedure. He had been dealing with chronic sinus infections for several years, which required surgical intervention. Despite his diabetes, his pre-operative health was stable, and the procedure was planned after thorough evaluations.
During the polypectomy surgery, there were no complications, and the procedure was uneventful. However, post-surgery, he developed pulmonary edema, which significantly impaired his ability to breathe. Intubation was performed to manage his breathing, and he was placed on a ventilator. Immediate resuscitation efforts were successful, but further diagnostic tests revealed an acute coronary syndrome (ACS), adding a new dimension of complexity to his clinical condition.
Complications and Advanced Care
Post-operatively, after being successfully extubated, Mr. Saiyad suffered a massive stroke (left MCA infarct). The timing of this event was critical as he was still in the window period for IV thrombolysis, a treatment commonly used in acute ischemic strokes. However, because of his recent surgery (within 24 hours), thrombolysis could not be administered. This posed a significant challenge for the medical team, as the window for effective treatment was missed.
Given the complexity of his case, the multidisciplinary team decided to proceed with mechanical thrombectomy. This intervention involves physically removing the clot that causes the stroke, a process requiring specialized care. However, as Mr. Saiyad was being transferred to the catheterization lab for the thrombectomy procedure, he experienced a cardiac arrest. Emergency resuscitation efforts were immediately deployed, and after stabilization, an urgent diagnosis of a fresh anterior wall myocardial infarction (MI) was made.
In light of these findings, the team quickly pivoted to a dual intervention approach. Mr. Saiyad was simultaneously treated for mechanical thrombectomy and percutaneous transluminal coronary angioplasty (PTCA), an essential procedure to clear the blocked coronary arteries and restore blood flow to the heart. Coronary angiography (CAG) was also conducted to assess the extent of the damage to the heart. The procedure was performed without complications, and his vital signs began to stabilize.
Post-Operative Recovery and Challenges
The recovery was far from straightforward. On the second day post-thrombectomy, Mr. Saiyad developed an intracranial hemorrhage (ICH), accompanied by increased intracranial pressure (ICP). As a result, craniotomy surgery was performed to relieve the pressure and manage the bleeding. The complexity of his condition required constant monitoring and adjustments in his treatment plan.
Despite these setbacks, the medical team at Dr. Jivraj Mehta Hospital maintained a high level of care. Over the course of the following week, with supportive care and continuous monitoring, Mr. Saiyad was gradually weaned off the ventilator. After 15 days, he was successfully decannulated from the tracheostomy and moved to a regular room for continued recovery.
His treatment involved a multidisciplinary team of specialists including neurologists, interventional cardiologists, neuro surgeons, and ENT specialists. The collaboration between these experts played a crucial role in managing his multi-organ complications, demonstrating the value of team-based care.
Rehabilitation and Long-Term Care
Following his stabilization, Mr. Saiyad was referred to the rehabilitation department, where physiotherapists worked diligently to restore his mobility and strength. A personalized rehabilitation plan was designed to address his specific needs, focusing on post-stroke recovery, cardiac rehabilitation, and neurological rehabilitation.
Over the following weeks, his condition continued to improve steadily. Physiotherapists worked closely with him to help regain his motor functions, improve coordination, and manage any physical limitations resulting from the stroke. His mental health and psychosocial support were also prioritized, ensuring that he had the emotional support necessary for his recovery.
The Multidisciplinary Medical Team
The successful recovery of Mr. Saiyad was the result of exceptional collaboration and expertise from a multidisciplinary medical team at Dr. Jivraj Mehta Hospital, Ahmedabad. The following doctors played critical roles in his care:
- Dr. Parth S. Shah (Critical Care)
- Dr. Nen Shah (Neuro Physician)
- Dr. Chintan Prajapati (Neuro Physician)
- Dr. Sandarbh Patel (Interventional Cardiologist)
- Dr. Parth Sorathiya (Neuro Surgeon)
- Dr. Atul Kansara (ENT Surgeon)
Each specialist brought a unique skill set, ensuring comprehensive care for Mr. Saiyad. The critical care team managed his post-operative complications, the cardiology team handled his myocardial infarction, and the neurology team ensured appropriate stroke management. Additionally, the ENT surgeon played a vital role in addressing his respiratory issues.
Conclusion: A Remarkable Recovery at Dr. Jivraj Mehta Hospital, Ahmedabad
Mr. Saiyad’s journey to recovery is a testament to the advanced medical care provided by Dr. Jivraj Mehta Hospital, Ahmedabad. His treatment involved a combination of high-risk procedures, including mechanical thrombectomy, coronary angioplasty, craniotomy, and intensive critical care. Despite the multiple complications, the hospital’s multidisciplinary approach ensured that he made a full recovery.
His case underscores the importance of timely interventions, the value of a skilled medical team, and the effectiveness of advanced medical technology in managing complex patient conditions. Mr. Saiyad is now leading a better quality of life, free from the debilitating effects of his conditions, thanks to the dedicated care he received.
Contact Us for Expert Medical Care
If you or a loved one is facing a complex medical condition that requires expert care, trust Dr. Jivraj Mehta Hospital, Ahmedabad for world-class treatment. Our experienced medical team is dedicated to providing comprehensive and personalized care for a wide range of health conditions. Contact us today to schedule a consultation.