Khairpur teen gets advanced aortic repair in landmark NICVD case


Khairpur teenager
Turkish specialist guides local team through rare Total Arch Replacement procedure

IV Report

KARACHI: The National Institute of Cardiovascular Diseases (NICVD) has successfully performed a rare and highly complex heart23    w surgery on a 16-year-old boy from Khairpur, Sindh — a procedure that lasted more than 16 hours and has been carried out in Pakistan for the first time, according to a press release issued on November 11.

The operation, known as Total Arch Replacement, is used to repair a damaged section of the aorta — the body’s main artery that carries blood from the heart to the rest of the body. A surgeon explained that the technique essentially replaces the weakened portion of the large artery inside the chest and supports it with a tube-like implant to ensure safe blood flow.

Prof Ugursay Kiziltepe
Due to the complexity of the case, NICVD invited Turkish cardiovascular expert Prof Ugursay Kiziltepe to join the local surgical team. The team also included cardiac surgeon Dr Khuzaima Tariq, Prof Asad Bilal Awan, Dr Muhammad Fahad of Shaheed Mohtarma Benazir Bhutto Institute of Trauma, and anesthesiologist Prof Amin M Khuwaja.

The patient, according to NICVD officials, is recovering well at the government-run cardiac treatment centre.

Prof Kiziltepe said the surgery required meticulous teamwork and coordination. “This first successful Total Arch Replacement in Pakistan shows that NICVD is capable of undertaking advanced heart surgeries performed only in a few specialised centres globally,” he said.

Dr Khuzaima Tariq 
Dr Khuzaima Tariq described the operation as one of the most technically demanding in cardiac surgery. He said it involved replacing the aortic arch — the central curved section of the body’s main artery — and placing a supportive stent without using deep cooling techniques that are normally required for such procedures.

Prof Asad Bilal Awan said operations of this kind remain uncommon even in countries with highly developed cardiac centres.

Dr Muhammad Fahad said the surgery’s 16-hour duration required stamina and precise teamwork, reflecting the improving capability of Pakistan’s cardiac specialists.

Prof Tahir Saghir
Anesthesiologist Prof Amin M Khuwaja added that maintaining the patient’s stability throughout the lengthy procedure was a major responsibility, and the team was encouraged by the patient’s recovery so far.

NICVD Executive Director Prof Tahir Saghir termed the achievement an important milestone for Pakistan’s healthcare system. He acknowledged the support of the government and said NICVD would continue providing advanced, free-of-cost cardiac treatment to patients from across the country.

Images courtesy: NICVD

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