Narayana Health City becomes the first healthcare provider in the country to successfully treat

Bengaluru, September 15, 2017: Narayana Health City becomes the first healthcare provider in the country to successfully treat a patient suffering from two life threatening disorders. The patient, Mr. Naresh Bala was suffering from Acute Myeloid Leukemia (AML) and Triple Vessel Coronary Artery disease (TVCAD) and has been cured of both his conditions through Bone Marrow Transplant (BMT) and a subsequent Coronary Artery Bypass Surgery (CABG).

48-year-oldNaresh Bala was diagnosed with AML, a life-threatening disorder in July 2012and was admitted at another center for chemotherapy. He was also diagnosed withTVCAD, which also neededintervention. As his condition did not improve he sought the help of Dr. SharatDamodar. 

Afterdetailed examination the doctor and team recommended following up theChemotherapy with a Bone Marrow Transplant.  However, unlike otherpatients, Naresh was suffering from a heart ailment making the case a high-riskprocedure. As BMT was the only option for Naresh to be cured of cancer, Dr.Sharat Damodar and team took up the challenge. They did a detailed evaluationof his cardiac condition. Once the cardiac team gave a high-risk clearance,they set out to find a matching HLA donor. Fortunately for Naresh, hisbrother’s HLA matched with him and the bone marrow transplant was conducted inAugust 2012. Naresh recovered fully and was discharged by August 2012. 

Though herecovered from AML, over the next 2-3 years he gradually began developingsymptoms of heart failure. As he was on immunosuppressive medications, hissurgery was deferred. However, his condition continued to deteriorate over aperiod making it imperative to perform a by-pass surgery, a life savingprocedure for his heart. 

Speaking onthe complexity of the case, Dr. Sharat Damodar, Clinical Director& Sr. Consultant Hematologist & Head – Bone Marrow Transplant Unit,Mazumdar Shaw Medical Centre, Narayana Health City, said, “Bloodcancer and TVCAD at the same time is an extremely rare condition. While theBone Marrow Transplant required taking utmost care and ensuring that thefunctioning of the heart was not adversely affected, the CABG presented highrisk of infections as the patient was on immunosuppressant medicines. Thenumerous risks that both the conditions presented, required extraordinaryefforts, the slightest deviation could have led to irreversible conditions,even death.” 

“We areextremely pleased that we could save Naresh’s life, and with this case, webecome the first hospital in India to have successfully treated a patient withtwo such critical life-threatening diseases”, added Dr. Damodar.

 Aftersuccessful surgeries without any complications, Naresh is cured not only ofcancer and TVCAD, he has been leading a near normal life for the last 5 years. 

DrRamesh Seshadri, Senior Consultant – Cardio Thoracic Surgery, NarayanaInstitute of Cardiac Sciences, Narayana Health City said, “Mr. Naresh Bala, post BMT patient,presented with severe coronary artery disease with severe LV Dysfunction (LowEF). He was in CCF and had chronic kidney disease with high creatinine. He wason immunosuppressant medicines. All the above said factors added to present acomplicated picture of high risk CABG. He underwent CABG without anycomplications and has steadily shown improvement in the last one year”. 

“I alsobelieve that a lot of credit should go to Mr Naresh Bala & his wife, whoremained very positive throughout the course of the treatment”, addedDr. Seshadri. 

AML is atype of blood cancer that affects the blood and bone marrow of the individual.In this condition, the cancer begins in myeloid cells, which are immature formsof white blood cells. TVCAD on the other hand is a life threatening cardiacdisease where in the arteries that supply blood to the heart muscle is blocked.The blockage and narrowing of the vessel is caused due to plaques which are aresult of cholesterol deposits on the walls. This gradually leads to thickeningof the lining of heart arteries and if ignored can cause heart attacks as wellas sudden death. 

Expressinghis joy of being saved, Mr. Naresh Bala said, “Inever imagined that I would recover. As I had multiple ailments my conditionneeded an extra-ordinary co-ordination between different departments.  Myissues involved hematology, heart, kidney, lung and gastro teams to be a partof the treatment. Doctors at Narayana Health knew this very well and theyworked together on one course of action.  I could not have dreamt of abetter team and platform than NH and am extremely grateful to each member inthe team to giving me back my life not once, but twice.”

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