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A 17 year old boy from Turkmenistan was suffering from major Heart ailment with very poor Ejection Fraction. His diagnosis includes Congenital Aortic Stenosis, Subaortic Membrane, Valvar & Supravalvar Aortic Stenosis with severe Aortic Regurgitation – Obstruction in all 3 levels, CHF (Congestive Heart Failure), LVEF (Left Ventricle Ejection Fraction) was only 15%, with a single kidney. He was advised for a heart transplant by German surgeons earlier, and denied open heart surgery in many centers in India.

After proper risk assessment, he was planned for a high risk surgery.

The surgery performed in this case is SAM excision, Aortic Valve Replacement (#19mm SJM Regent mechanical aortic Valve), with ascending aortic augmentation.

His post-operative course was uneventful, and the patient was discharged 6 days after surgery.

Now the patient has reported for follow up after 6 months, he continues to do well and the LVEF has increased from 15% to 40% with which patient can live a normal life.

Team of Cardio Thoracic doctors led by Dr. MAHESH WADHWANI, Chief of Cardiac Surgery & HOD, Department of Paediatric and Adult Cardiac Surgery, at Paras Hospitals, Gurgaon took the challenge and surgery was done successfully.

Dr Mahesh Wadhwani states, “It’s not daily that you come across patients like Yhlasgeldy, he was at the brink and about to lose his precious life at such a young age. What made this surgery so special is that after surgery he just sprang back to life and now doing so well. I am very happy that he continues to do well even after six months and wish him a healthy life ahead. I am positive that instead of heart transplant his own heart is going to serve him well in future, and he will remain free from the strict transplant protocol follow up and toxic medicines that one has to take after heart transplant”.