Bengaluru, September 25, 2026: A 66-year-old man airlifted from the UAE to Bengaluru for complex cardiac care has made a significant recovery following multidisciplinary treatment at SPARSH Hospital, Infantry Road.
The patient, who had a history of diabetes and low blood pressure, was advised to undergo a coronary angiogram in the UAE after doctors detected a reduced ejection fraction (EF). His condition later became more complicated, requiring ECMO support and a tracheostomy.
He was brought to SPARSH with chest pain, breathing difficulty, stridor and known tracheal stenosis. Given the complexity of his condition, specialists from Pulmonology, Cardiology, Neurology and Thoracic Surgery worked together to plan his treatment.
The Pulmonology team, led by Dr. Venkatesh, Senior Consultant – Pulmonology, and Dr. Ganesh Pratap, Consultant Pulmonologist – Allergy & Asthma Specialist, evaluated the airway narrowing and performed an intervention to improve airflow.
The Cardiology team, led by Dr. (Prof.) Ranjan Shetty, Lead Consultant – Cardiologist and Medical Director, initially reviewed and optimised the patient’s medications, as he preferred medical management. Following further counselling and monitoring, he underwent coronary angiography, which revealed significant blockages in two major coronary arteries.
Considering his overall condition, the team adopted a staged approach and treated the two blockages through separate interventions.
During recovery, the patient experienced a sudden loss of consciousness. An MRI revealed a small intracranial bleed. Dr. Anil Ramakrishna, Senior Consultant – Neurology, and his team initiated medical management, after which the neurological condition resolved.
Once his cardiac condition stabilised, the patient underwent definitive tracheal reconstruction performed by Dr. Vijay C.L., Consultant – Thoracic Surgery. The narrowed segment of the trachea was removed and the healthy ends were reconnected through anastomosis.
Following the procedure, his breathing improved significantly and his overall clinical condition stabilised. His ejection fraction, which was around 35–40% initially, improved to nearly 50%.
Dr. Ranjan Shetty said the case highlighted the importance of coordinated multispecialty care in patients with complex and changing medical needs. He said bringing different specialists together helped keep the patient’s overall recovery at the centre of treatment decisions.
The patient is now progressing towards a more stable and active life after overcoming multiple cardiac, airway and neurological challenges.
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