Kolkata: Manipal Hospital Mukundapur has
successfully treated a 54-year-old man from Bangladesh suffering from
renal complications and a rare, life-threatening giant infrarenal abdominal
aortic aneurysm (a large balloon-like bulge in the abdominal aorta, the
body's main blood vessel, located below the arteries supplying the kidneys).
The patient initially presented with kidney-related issues and was
evaluated by Dr. Avinandan Banerjee, Clinical Lead – Nephrology & Kidney
Transplant Manipal Hospital Mukundapur. During
evaluation, complex vascular condition was identified and owing to the severity
and complexity of the aneurysm, the patient was referred for advanced vascular
intervention. A highly advanced, minimally invasive Endovascular Aortic
Repair (EVAR) procedure was then successfully performed by Dr. Soumya
Patra, Senior Consultant – Cardiology and Director – Cath Lab, and Dr. Arijit
Datta, Senior Consultant - Cardiothoracic and Vascular Surgery Specialist,
Manipal Hospital Mukundapur.
Fedu Saha, a 54-year-old active
smoker with a history of coronary artery bypass graft (CABG) surgery in 2016, was
admitted to Manipal Hospital Mukundapur on 5th July 2026
after experiencing severe abdominal pain radiating to his back and left lower
limb, along with increasing difficulty in walking. A CT angiography revealed a giant
aneurysm of the infrarenal abdominal aorta, with mural thrombus and
dissection, a giant bulge in the lower section of the body's main artery
that supplies blood to the lower half of the body, with a blood clot along its
inner wall and a tear in the artery's lining. The aneurysm had significantly
compromised blood flow, particularly to the left femoral artery compared to the
right, while the upper abdominal aorta remained normal. Due to its size, the
aneurysm was also compressing adjacent structures, contributing to the
patient's severe pain and mobility issues.
After a comprehensive evaluation,
the treating team decided to perform a completely percutaneous Endovascular
Aortic Repair (EVAR) on 6th July 2026 using an Endovascular
Graft (a fabric-covered metal mesh tube that is placed inside a damaged blood
vessel to reinforce). During the procedure, the stent graft was positioned
inside the diseased segment of the aorta, creating a new pathway for blood flow
while excluding the aneurysm sac from circulation. This prevented further
expansion of the aneurysm and significantly reduced the risk of rupture. Unlike
conventional open surgery, the entire procedure was performed through small
punctures in the blood vessels without the need for a large abdominal incision
or laparotomy. Advanced MANTA vascular closure devices were used to seal
the access sites, enabling faster recovery with minimal postoperative
discomfort.
Speaking about the case, Dr.
Soumya Patra said, "Large abdominal aortic aneurysms are potentially
fatal because they can rupture without warning, causing life-threatening
internal bleeding. In this patient, the aneurysm had already begun affecting
blood flow to the lower limb, leading to severe pain and difficulty in walking.
Performing a completely percutaneous EVAR allowed us to safely exclude the
aneurysm while preserving blood flow through the aorta, avoiding the trauma and
prolonged recovery associated with open surgery. Such advanced endovascular
procedures are transforming the management of complex vascular diseases by
offering safer treatment with quicker recovery and excellent clinical
outcomes."
Dr. Arijit Datta, shared,
"Abdominal aortic aneurysms are often referred to as a 'silent killer'
because they may remain asymptomatic until they enlarge significantly or
rupture. Early diagnosis through timely imaging is crucial, particularly in
individuals with risk factors such as smoking, advancing age and a history of
cardiovascular disease. In this case, the aneurysm had already begun
compromising blood flow to the lower limb, but had also developed a dissection,
a tear in the inner wall of the aorta which significantly increased the risk of
life-threatening complications and made urgent intervention essential. The
close collaboration between our vascular surgery and interventional cardiology
teams enabled us to offer a minimally invasive solution that eliminated the
need for open surgery while ensuring a safe and effective outcome for the
patient.”
The patient's postoperative
recovery was uneventful, and he was discharged on 9th July 2026
in stable condition. At follow-up, he reported a significant reduction in pain
and was able to walk comfortably, marking a remarkable improvement in his
quality of life.
This successful intervention
underscores Manipal Hospital's expertise in managing complex vascular disorders
through advanced endovascular techniques, offering patients cutting-edge,
minimally invasive treatment options with improved safety, shorter hospital
stays and faster recovery.