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Past events at MIOT

Seychelles and MIOT International go back a long way. This warm relationship is the result of the care that we have provided to the people of Seychelles, and the trust that they have in turn, placed in us and our ability to deliver on our promise.

Over the years, we have had many complex cases from the island nation. And our expertise in over 63 specialities, backed by eminent full-time doctors and some of the most sophisticated equipment in the world has enabled us to treat them with utmost care. Most of the patients have gone on to become pillars of inspiration.

We at MIOT continue to be at the service of the people of Seychelles.

We herewith present a landmark case on how MIOT performed the most complicated procedure to bring Mr. Francis Jelly Walter Labrosse (68 years old) back from the clutches of death.

Mr. Francis is the kind of energetic person who never lets age stop him from enjoying an active lifestyle. He is a loving husband, a caring father and a doting grandfather at home. Among his friends, he’s a wonderful companion. Mr. Francis also continues to work as a general manager in a construction company, where he’s much loved and respected. Yet, his cheerful and warm façade doesn’t even begin to drop a hint about the various severe complications that he has experienced in his life.

Seen in the photograph from left to right: Dr. Murali K, HOD – Endovascular Interventions, MIOT International., Mrs. Mallika Mohandas, Chairman, MIOT International., Mr. Francis, Patient from Seychelles., Dr. Vijit K. Cherian, Director – Cardiothoracic Surgery, MIOT International. (Press meet event on 02nd August 2018 at MIOT)

Previous Medical History:

Medically, Mr. Francis has had a long history of very serious conditions that have threatened his lifestyle and daily activities on a regular basis.

1. Hypertension – He is a known case of systematic hypertension since the last 20 years and continues to be on treatment. It’s a well-known fact that having long-term high blood pressure leads to many serious heart complications.
2. Colon Cancer – In 2013, when he learnt he had Colon Cancer, he was a shattered man. Being a life-threatening condition, he went to Pune to undergo complicated colonic resection. It turned out to be a disaster, as within five days, he underwent a re-surgery for the same, because of the complications he developed during the first surgery.
3. Incisional Hernia – While there was relief in his family that he had defeated cancer successfully, tragedy struck again. In 2016, he was diagnosed with Incisional Hernia, which proved to be a result of his previous back-to-back surgeries. So he had to undergo surgery again.

This took his abdominal surgery count to three.

The Ordeal:

In June 2018, at about 2:30 am, Mr. Francis woke up to feel a searing pain in his abdomen. It felt like somebody was stabbing his stomach with a knife and twisting it. It was unbearable and he couldn’t even manage to stand. Alarmed by his condition, his and wife rushed him to a hospital, where it took six hours for the pain to subside completely.

Suspecting it to be more than an abdominal pain, which is related to his past medical history, his physician in Seychelles advised a CT scan to find the root cause behind it. The result revealed multiple Aneurysms in the lower region of the aorta, including the abdomen and thigh. The word ‘aneurysm’ frightened Mr. Francis. Even colon cancer or incisional hernia hadn’t scared him to this extent. It was because he had witnessed his own brother-in-law pass away due to an aneurysm. And, he knew it was life-threatening.

Sensing the urgency, his physician referred him to MIOT International, Chennai, India. Seeing the complexity of the situation, the health officials in the Seychelles government stepped in make the necessary arrangements so he can travel to MIOT as soon as possible. With their assistance, Mr. Francis packed his bags with hope and optimism, and flew to MIOT on 11^th July 2018.

Diagnosis at MIOT International, Chennai, India:

At MIOT, the Cardiothoracic Specialist advised Mr. Francis to undergo a CT Aortogram, suspecting more complexity in his case. The hospital’s state-of-the-art 750 HD CT scanner revealed a more clear and accurate diagnosis. The Imaging Sciences Department found a large aneurysm in the Descending Aorta of the Heart, the primary reason behind his painful ordeal.

It left the MIOT’s Doctors team (Cardiothoracic and Endovascular) with only two options to treat his condition –

Why Endovascular Stent Repair Procedure (EVSR):

Hence EVSR treatment in this case will be the only and best option for Mr. Francis ensuring his safety and quicker recovery time.

The Solution to the Ordeal:

The endovascular specialist at MIOT made a small incision in the right thigh, and without any major surgery, the stent graft was taken into the aorta. The graft was deployed in the aneurysm-affected area under x-ray control in a sophisticated Cath Lab unit. As the stent graft was released, it expanded to the proper size so that it fit into the aorta both above and below the aneurysm, restoring the blood flow back inside the aorta.

Since the blood flow is channelized back inside the normal aortic passage, the primary Descending Thoracic Aortic Aneurysm site is cut off from the blood supply thereby shrinking in due course to normalcy including the other secondary aneurysms seen in the abdomen.

Illustrator diagram of procedure

Result:

Once the procedure was completed, Mr. Francis was monitored 24×7 in the ICU. His blood pressure was monitored and kept under control.

He recovered after two days and showed not a single sign of pain or discomfort. A CT taken recently revealed that the aneurysm had completed withered away.

Now, he is just eager to go back to Seychelles and be with his folks to celebrate his birthday.

We at MIOT International thank the government and the people of Seychelles for their continued trust and belief in the care that we provide. And we are committed to serving them with grace.

About MIOT INSTITUTE OF CARDIAC CARE

From treating life threatening heart attacks to taking care of days old blue babies, MIOT Institute of Cardiac Care has both the infrastructure and expertise to offer patients care for the entire spectrum of diseases and disorders.