Case Study: Successful AICD Implantation at Vadamalayan Hospital, Dindigul

Case Study: Successful AICD Implantation at Vadamalayan Hospital, Dindigul

A Journey to Recovery: A 61-Year-old Gentleman’s Story

A 61-year-old gentleman presented to Vadamalayan Hospital, Dindigul, a renowned tertiary care super speciality facility, with c/o palpitations and giddiness. He is a known case of coronary artery disease (CAD), he had previously undergone a percutaneous transluminal coronary angioplasty (PTCA) with a stent placement to his left anterior descending artery (LAD) and obtuse marginal (OM) artery and type II diabetes mellitus. He was not taking medications for past two years. He was detected to have episode of ventricular tachycardia (VT) and the necessity for specialized cardiac intervention. DC shock given and reverted to normal sinus rhythm. On further evaluation, ECHO showed non-viable myocardium in LAD territory with severe lv dysfunction which was confirmed by cardiac MRI. CAG was done which revealed occlusion of stent in the LAD?

Diagnosis and Challenges

Upon admission on December 2, 2024, the patient was diagnosed with:

  • Coronary Artery Disease (CAD) Acute Coronary Syndrome (ACS) – NSTEMI
  • Coronary angiogram - – Double Vessel Disease
  • Severe LV Dysfunction
  • Ventricular tachycardia
  • Diabetes Mellitus

Expert Intervention by Dr. P. Radhakrishnan

Leading this critical case was Dr. Radhakrishnan P, MD, MRCP, DM, a highly experienced Consultant Interventional Cardiologist at Vadamalayan Hospital. Recognizing the severity of the patient's condition, Dr. Radhakrishnan and his expert team opted for an Automated Implantable Cardioverter Defibrillator (AICD) implantation to manage his ventricular tachycardia and prevent sudden cardiac death.

State-of-the-Art Procedure

On December 3, 2024, the AICD implantation was successfully performed via the left subclavian vein approach. Utilizing advanced Medtronic devices, the team ensured precision and stability during the procedure. The details of the implantation included:

  • Lead: Medtronic Sprint Quattro Secure S MRI Sure Scan (6935M - 62 cm)
  • Pulse Generator: Medtronic Mirro MRI VR Sure Scan (DVMC3D4)

The procedure was completed without complications, and the patient was monitored closely in the Intensive Care Unit (ICU)? recovery. By the discharge date of December 7, 2024, the patient was hemodynamically stable, with improved symptoms and vital signs.

Hospital Facilities and Patient-Cantered Care

Vadamalayan Hospital, Dindigul, stands out for its cutting-edge facilities and patient-centric approach. The hospital's super speciality cardiology department is equipped with advanced diagnostic and interventional technologies, including:

  • Modern catheterization labs
  • Expert cardiac care teams
  • 24/7 ICU support
  • Comprehensive post-operative care

The seamless coordination between departments ensures that patients receive holistic care under one roof, making Vadamalayan Hospital a beacon of hope for patients in the region.

A Testimony to Expertise and Compassion

Dr. Radhakrishnan's meticulous planning, technical expertise, and the unwavering support of his medical team were pivotal in this successful outcome. Their dedication to excellence exemplifies the hospital's mission to deliver top-tier healthcare to the community.

Conclusion

This case highlights not only a successful intervention for a life-threatening cardiac condition but also showcases Vadamalayan Hospital's commitment to advanced healthcare and compassionate service. The gentleman’s recovery story is a testament to the capabilities of modern medicine and the expertise available at Vadamalayan Hospital, Dindigul.

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