Dr. Ali Keivanjah successfully treats a life threatening case of “Traumatic Aorta Transection” by implementing a new method

81
Dr. Ali Keivanjah a vascular and endovascular consultant, Burjeel Hospital Abu Dhabi

Abu Dhabi, UAE: Surgeons at Burjeel Hospital Abu Dhabi, one of the region’s leading private healthcare facilities handled 999 patient case with a critical, never done before procedure led by Dr. Ali Keivanjah, a vascular and endovascular consultant.

 Following a massive car collision, the patient, H.A arrived with a chest Injury after a long night shift and sustained a life threatening “Traumatic Aorta Transection”. The patient was admitted to the hospital, suffering from shortness of breath and was slightly hypotensive. A chest xray revealed a pneumothorox on the right side. 

After stabilization of the patient, Dr. Ali Keivanjah performed extensive diagnostics including multiple CT Angio’s of Thorax and Abdomen, which then revealed a massive step-up deformity of the abdominal aorta suprarenal with a localized hematoma periotic at the transection level with no sign of active bleeding. 

Dr. Ali Keivanjah said, “We placed a chest tube on the right side and performed a MR Angio of abdomen aorta subsequently which confirmed a massive aortic transection suprarenal with a step-up deformity at the level of main intestinal and kidney arteries combined with a life-threatening rupturing of abdominal aorta and potential fetal bleeding. Due to the narrowing of aorta lumen at the transection level, implantation of a fenestrated aortic endograft was technically not feasible.” 

The patient H. A said, “I was not keen on any sort of open surgery or hybrid operation and I am glad that after thorough planning, Dr. Ali came up with a new solution that suited both of us.“ 

After meticulous planning Dr. Ali Keivanjah implemented a new method which has never been done before worldwide, in terms of implanting a Self-Expanding Stent with flexible Open-Cell Design at suprarenal and intrarenal level of Aorta. The procedure was performed in the Cath-Lab under general Anesthesia by implanting above stent, which stabilized abdominal aorta and also secured blood circulation of intestinal and kidney arteries simultaneously. 

Both procedural and post procedural courses were completely successful. After 24 hours monitoring on the ICU patient was then transferred to peripheral ward and was discharged on day 3 postoperative. A Follow-up appointment was scheduled on day 7 postoperative in our vascular clinic which was showing an absolute satisfactory recovery.

About Burjeel Hospital Abu Dhabi: 

Burjeel Hospital is Abu Dhabi’s premier private healthcare facility providing world-class, specialized and superior healthcare complemented by a warm and personalized human touch to the growing population of the emirate of Abu Dhabi. 

A unit of the VPS Healthcare, Burjeel Hospital opened for patients in April 2012 as a Tertiary hospital under the auspices of the Health Authority for Abu Dhabi.  At the core of the organization is a team of exceptionally skilled and highly experienced health professionals, collaborating as multidisciplinary teams with Guests and their families as the main focus, to provide the best healthcare experience.  

Burjeel Hospital received the prestigious Joint Commission International (JCI) accreditation in June 2013 – 15 months after starting operations.  Currently, the hospital is affiliated with some of the world’s best healthcare institutions for its center of excellence and is now becoming a renowned center of referral for Cardiovascular, Orthopaedics, Ophthalmology, Paediatrics, Obstetrics and Gynaecology, Reproductive Medicine and many more specialties handling complex laparoscopic and minimally invasive surgeries.

The hospital has full-fledged pharmacy, laboratory, and radiology units to serve Guests at any time of the day. Burjeel also houses a restaurant and a coffee shop, serving the finest and healthiest cuisines from across the world. Combining all-round specialization and expertise with most advanced technology, Burjeel offers the best in diagnostic, curative, as well as preventive aspects of healthcare.