Dr. Mistry says his colleagues saved his life and gave him “an enlightenment and teaching about the profession.”
As a fellow at Mount Sinai, Dr. Naresh Mistry trained with Dr. Dr. Samin Sharma to become an interventional cardiologists. Decades later when Mistry experienced a heart attack and mulit-vessel coronary artery disease, Mistry asked Sharma to place his stents. But Sharma knew his colleague had a better solution for his former trainee.After finishing a 12-hour workday, Dr. Naresh Mistry felt worn down when he got home and tried napping. But sleep evaded him.
“They found a multi-vessel blockage,” Mistry explained. “The surgeon was called and then the decision ultimately was made to intervene on one vessel called the left anterior descending arteries and the stent was put in.” “Dr. Mistry proceeded to go into life-threatening rhythm. We ended up doing a code blue for about two hours with chest compressions and shocking the heart,” Brewer, an interventional cardiologist at Parkwest Medical Center, told TODAY. “We ended up putting in what’s called an Impella, which is a specialized device, a ventricular assist device, that can sustain a patient even if their heart’s not beating.
“You don’t know how many times I thought I was going to have to go outside the cath lab and discuss with his wife that Naresh wasn’t going to make it,” Brewer said. “I’ve been personal friends with Dr. Mistry for many years and it’s difficult. You've just got to stay focused, identify the problem solve the problem … you’re not guaranteed anything in this world.”
Sharma said the stent likely collapsed because it was never fully opened and the calcium in the blockage weighed it down. While it had opened enough to prevent a heart attack and help Mistry have an almost normal ejection fraction, the percentage of blood pumped through the left ventricle wasn’t strong enough to keep the artery open.Mistry had hoped Sharma could help him without a quadruple bypass surgery. But his blockages were too severe.
Puskas performs a type of bypass surgery that is used “infrequently” at other hospitals. He does not stop the heart from pumping during the procedure and he uses arteries from the chest, instead of veins from the legs, to replace the blocked arteries.
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