Doctors remove mass and also half of the left lung.
Mysore :
Doctors at JSS Hospital, Mysore have performed a rare surgery on a 24-years-old woman from Channarayapatna with a three months history of intermittent episodes of cough, difficulty in swallowing, difficulty in breathing, coughing out whitish material along with hair.
The woman had few episodes of blood in the sputum and had lost 3 kgs of weight over a period of three months.
Dr. Shyam Prasad Shetty, Cardiothoracic Surgeon, speaking at a press meet at the hospital in city yesterday, said that the woman was initially treated at a local hospital and was referred to him for expert care. The chest X-ray and CT thorax showed a large mass in the left side of the chest very close to the heart.
The large mass was abutting (closely adjacent to) the main blood vessels coming out of the heart. A scope was inserted into the airways by Dr. Jayaraj, Prof. of Pulmonology and these revealed long tufts of hair and whitish material coming out of the left main branch of the lung, confirming that this mass was communicating with the left lung.
The patient and her family were explained about this unusual large mass in her left lung, about its approximation to the heart and the great vessels and about the risks involved in surgically removing it.
A multidisciplinary team of specialist doctors comprising of Dr. Shyam Prasad Shetty, Dr. Umesh Nareppa Cardiothoracic and Vascular Surgeons, Dr. Jayaraj and Dr. Mahesh- Pulmonologists, Dr. Dinesh Kumar and Dr. Murugesh Wali- Cardiac Anesthesiologists was formed and a plan of care evolved. Surgery was done under general and epidural anaesthesia by ventilating only one of the lungs. The left side of the chest was opened and a large mass measuring about 8 cm x 9 cm adjacent to the main pulmonary the left pulmonary arteries, invading into the left upper lobe of the lung was found.
This was a difficult and technically challenging surgery. The doctors removed the mass also had to remove half of the left lung also since this mass was connected to it. After the surgery, she was in the intensive care unit for five days and was discharged two weeks after the surgery.
If the mass was left unattended, this would have become life threatening by rupturing into the lung and its air ways, into the heart and its major blood vessels.
Dr. R K Chaturvedi, Director, JSS Hospital said, “This case was a challenge to the cardiothoracic surgeons, pulmonologists and cardiac anesthesiologists. A multi-specialty team equipped with high end infrastructure which is available at JSS hospital-Mysore made it possible to carry out this major surgery on a very rare and unusual mass in a young lady. Since the patient was a beneficiary of Vajpayee Aarogyashri Scheme (BPL), the patient was not charged any money.”
The team comprised of Dr Shyam Prasad Shetty, Dr Umesh Nareppa Cardiothoracic and Vascular surgeons, Dr. Jayaraj and Dr. Mahesh Pulmonologists, Dr. Dinesh Kumar and Dr. Murugesh Wali- Cardiac Anesthesiologists.
source: http://www.starofmysore.com / Star of Mysore / Home> General News / June 06th, 2014