Gabriel Paolo, 75, a retired chemist who labored for years in prescription drugs, was nonetheless very energetic with aspect companies and having fun with the corporate of his massive household in Panama Metropolis.
However when he began feeling dizzy and faint, his children urged him to see his physician. A CT scan would reveal a really major problem in his aorta. Mr. Paolo had an aortic dissection in which there’s a tear within the wall of the aorta, the key artery carrying blood out of the guts. Subsequently, he developed an issue along with his coronary heart’s mitral valve.
Initially, he did nicely after his remedy for the aortic dissection. However he then began going into congestive coronary heart failure and his lungs stored filling up with fluid. And most critically, his mitral valve wanted restore. The mitral valve, which separates the 2 chambers (atrium and ventricle) of the left aspect of the guts, creates extra challenges for surgeons, particularly when signs change into extreme, says Ramon Quesada, M.D., medical director of Structural Coronary heart and Advanced Percutaneous Coronary Intervention at Miami Cardiac & Vascular Institute.
Mr. Paolo’s household and buddies knew of Dr. Quesada’s pioneering work on mitral valve repairs on the Institute. He could be flown by air ambulance from Panama Metropolis to Miami Cardiac & Vascular Institute. Dr. Quesada recollects how critically unwell Mr. Paolo was upon his arrival on the Institute. The affected person was on dialysis and he had been intubated and placed on a respirator for weeks previous to his journey to Miami. Dr. Quesada mentioned Mr. Paolo had extreme mitral valve regurgitation.
In some instances, the prolapsed valve lets a small quantity of blood leak backward by the valve. When such mitral valve prolapse is extreme sufficient to trigger important leakage, known as “regurgitation,” it could result in severe issues akin to coronary heart assault and stroke.
Dr. Quesada recounts the profitable mitral valve process.
“We did a transcatheter (minimally invasive) mitral valve restore with MitraClips,” explains Dr. Quesada. “After doing that and eradicating all of that stress on the valve and making the valve operate usually, we drastically decreased the quantity of mitral valve deficiency from ‘torrential,’ which is extreme, to ‘hint’ — and that’s a spectacular end result.”
The Institute has been on the forefront of MitraClip procedures for a number of years and concerned in lots of scientific trials. Because of the Institute’s success in these trials, the MitraClip was launched in 2013 to deal with sufferers with mitral valve prolapse, and different mitral valve abnormalities.
After his mitral valve process, Mr. Paolo was weaned off the ventilator and finally returned to Panama. Months later, Dr. Quesada mentioned his affected person “despatched me a video that confirmed how he has resumed a standard and wholesome life in Panama.”
Mr. Paolo mentioned he’s deeply grateful for the medical remedy and shut consideration he obtained on the Institute.
“The eye at Baptist Well being was wonderful,” he recollects. “I’d not have gotten that type of remedy anyplace else. Dr. Quesada and his workforce have a want to assist. You’re feeling that whenever you meet him. He’s very heat and you’ll inform his purpose is to heal.”
Mr. Paolo says his priorities have undoubtedly shifted since his medical emergency.
“Many instances, we mistakenly put work first, however we don’t be taught that till you may have an issue,” he says. “We’ve to place our well being first. We’ve to care for ourselves.”
Baptist Well being Worldwide is likely one of the largest hospital-based worldwide applications in the US with greater than 13,000 worldwide affected person visits at Baptist Well being South Florida services from the Florida Keys to Palm Seaside County. Baptist Well being Worldwide is devoted to offering complete, high-quality companies for worldwide physicians and their sufferers, together with hospital admissions, outpatient medical exams, medical second opinions, and doctor consultations, in addition to concierge companies. For worldwide inquires please name 786-596-2373 or contact [email protected]
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