In a first for Southeast Asia, a 29-year-old man underwent a rare, life-saving hybrid cardiac procedure in the Delhi NCR, combining open bypass surgery with minimally invasive endovascular repair, as per media reports.
The patient was admitted in a critical condition with uncontrolled internal bleeding and was diagnosed with a ruptured thoracoabdominal aorta.
The complex procedure was performed at Fortis Memorial Research Institute, Gurugram, and involved open bypass surgery along with endovascular stent grafting to seal the ruptured aorta and restore blood flow to vital organs, media reports said.
The patient, a resident of Bihar, was found to have a ruptured and massively dilated thoracoabdominal aorta—the main artery supplying blood from the heart to vital organs—a condition associated with extremely high mortality.
His condition was initially misdiagnosed at multiple hospitals in Bihar as fluid accumulation in the chest. A chest tube was inserted, which led to further complications and worsening internal bleeding.
Over the following months, his health deteriorated rapidly, with heart function dropping to nearly 15 per cent, leaving him bedridden due to the risk of sudden fatal bleeding.
Surgery was declined by several hospitals in Bihar, Kolkata and Bengaluru because of the exceptionally high risk, before he was referred to the Gurugram facility as a last resort.
Despite an estimated mortality risk of nearly 50 per cent, the patient recovered well and was discharged within six days. He is currently stable and undergoing medical management for low heart function, with plans for a future cardiac procedure once he fully recovers.