New Delhi, Jul 25: A team of doctors at Fortis Hospital Vasant Kunj conducted India's first simultaneous open-heart surgery and segmental mastectomy under general anesthesia on a 55-year-old patient from Gorakhpur, Uttar Pradesh.
A team of doctors consisting of oncologists, cardiologists, radiologists, anesthesiologists and critical care specialists, conducted the simultaneous surgeries on the patient named Renu. The Doctors told a press conference here that the patient was brought to the hospital with cancer in her right breast. After some tests, it was revealed that it was an "atrial myxoma, a benign tumor. With the presentation of evidence of two different tumors- one in breast and one in heart, treatment options narrowed, they added.
Cardiologist Dr Sanjay Gupta said, "Another challenge under the circumstances was that certain chemotherapeutic drugs sometimes cause weakening of the heart. The Atrial Myxoma can form a thrombus, rupture and lodge itself in the internal organs causing a stroke. also increase in its size can compromise the heart functions. If we plan to operate before the breast, it will take at least 4-5 weeks for the patient to recover from open heart surgery which is ample time for stage 3 cancer to become sate 4. Starting breast cancer treatment before addressing heart tumor, increases the chances of the breast cancer treatment being stopped in case of adverse effects on heart".
Dr. Mandeep Malhotra Head, Department of Head, Neck and Breast Oncoplasty, FHVK shared, “The histopathology of the patient proved that she was suffering from stage 3 breast cancer with an atrial myxoma. Profiling showed that she was an ideal candidate for targeted therapy in the form of Trazatususmab, which often causes weakening of the heart. Had we operated the heart only, delaying the surgery for breast, then this could have led to progression of cancer impacting the patient's survival. Therefore, in order to ensure survival and proper treatment, the heart needed to be stable. Only then could the treatment for breast cancer be properly administered and completed.
It was, therefore, decided in our medical board in consultation with the patient, that both the operations would be done together, and the patient would be placed under general anesthesia. She then underwent an open-heart surgery first, and after the chest was closed and the patient stabilized, the breast was operated on, to remove the cancer, Dr Malhotra added.
She was kept in the ICU for 48 hours, following which she was shifted to the ward. Her postoperative period was smooth and she was discharged on the 7th day, post her surgery. At present the patient's main tumor or disease load due to Breast Cancer has gone, heart has been optimized to withstand the chemotherapy and Targeted Therapy to prevent Breast cancer from coming back.(UNI)