Page 1 0! iS Mmepanta Medanta-The Medicity,Gurgaon “| Discharge Summary Patient Name “ Patient UHID ___ +. MM02329279 Age Gender 1 Male ‘Admission Date # 01/07/2022 17:52 Discharge Date ’ Encounter Type Inpatient Encounter 1D : 19000147 Consultant Incharge — Dr Rajiv Parakh & Team Specialty + Vascular& Endovascular Surg ery Location : 8th Floor B2B3 Bed No 1 XXBA05 Vi lar & Ei in H NO 63 AN ,RAJHARSH COLONY ,KOLAR ROAD, NAYAPURA, HUZUR, Kolar Road S.0,BHOPAL, India, 462042 05/07/2022 12:27 Dir of Periph Patients Address Date of Discharge Name of Consultant Dr Rajiv Parakh and Team Bed No 4805 Reason for admissions $ Procedure/Surgery * Diagnosis & Co-mort Type B Aortic Dissection HYPOTHYROIDISM HTN Procedure or Surgery s Operation: Thoracic endovascular aortic aneurysm repair done under MAC on 01/07/2022. Operation Summary: Under imaging guidance, right CFA ,left CFA and left CFV access taken and 6f sheath introduced. Over the right CFA access preclose done using 3 proglide vascular closure device used at 10-12-2 o'clock position. Therafter, 11F sheath introduced. Stiff guidewire parked thru guiding catheter into arch of aorta, and pigtail catheter parked in arch of acrta and Aortogram Performed, showed intimal tear just distal to subclavian artery origin, . Findings confirmed and landing — zone identified. Hence after precalculations, 30 * 26 * 155relay plus stent graft system introduced thru right CFA access and placed. Post procedure, aortogram performed showed no evidence of any endoleak, no evidence of active extravasation withgood flows in left subclavian, mesenteric, renals and bilateral iliacs. Right and left CFA access hemostasis achieved via proglide vascular closure system and starclose vascular closure system respectively Medical History & Presenting Complaints Mr Asoke Sitoke, 57 years old Male patient, having history of HTN and Hypothyroidism . Presented in Medanta-The Medicity Hospital with complaints of abdominal pain, chest pain radiating to upper back . Now admitted for further management. Physical & Systemic Examination Examination : GC, fair, vital maintained, Afebrile, pallor, cyanosis, Icterus absent.*CVS: $1 S2 normal, no murmur. Resp: 8/L clear good alreenstiyacA/A: soft, bowel sounds present. *CNS: No focal / neurological deficit For Emergency & Ambulance: Dial @ 1068 5 sercif'5-07-202 ita - Gurugram Medanta - Mediclinic Medanta ~ Mediclinie Cyberei@5-07-262 4 Sectar-28, Guru, Haryana 1220, aE, Delon Clomy, New Dei 110024 4 UG Fo. Biking 1, 1 bere, Pas Garam 12002 68) 2414144 Fax 0 12448381 2 99010403641 Fc 801 285518 say sagan a2 Regd. Office: Global Heath Limited, E18, Defence Colony, New Deihi- 110024, india Tel +91 114411 441 Fax: ¢91 112459 1433 Cope Mery Meer - ES ICOZOOA.C1ZE5 ‘fot@inadantacresPage 2 0! \S mepbanta lent Name Ir. Ashok Sitoke Patient UHID mm02329279 Age + 53Y Gender “Male Admission Date 01/07/2022 17:52 Discharge Date : Encounter Type + Inpatient Encounter 1D : 19000147 Consultant Incharge —: Dr Rajiv Parakh & Team Specialty + Vascular® Endovascular Sura e Location + 8th Flor 8283 Bed No 1 n8A05 Investigations Laboratory All investigation reports with the patient Course in Hospital Patient was admitted with above mentioned complaints, all necessary investigations were done, patient taken up for procedure. Thoracic endovascular aortic aneurysm repair done under MAC on 01/07/2022. Post procedure patient wos Shifted to ICU for monitoring, In ICU, patient developed hypertension and cardiology opinion (Dr.Sanjay Mittal) sought _m and advice followed Post procedure access site (left CFA and right CFA) check doppler shows no evidence of Hematoma and no evidence pseudoaneurysm. Bilateral lower limb pulses palpable. He was managed with IV Antibiotc, 1V Fluid and supportive management. Patient was shifted to ward after stabilisation .At the time of discharge, ne 6 symptomatically better , maintaining vitals and is being discharged with advice for further follow up. Significant Medication given * Given Below Condition at Discharge Stable ‘Advice on Discharge Discharge Medications Peripheral Medication Drug Class Name, Dose Route Frequency Duration Antacid ‘Tab. Esomzole-DSR orally (before breakfast) Once Daily 15 Dayso “THF Antibiotics Tab. zunicef 500. mg. Orally Twice Daily 5 days _. _ Antiplatelet_ Tab. Ecosprin AV 150/20mg Orally ‘Once Daily Lifelong $ 777 Pain Kiler Tab. Ultracet | Orally Twice Dally Sdays o —< Anticoagiation Inj Fondazest 2.5mg Subcutaneous Once Daily _ S days 8 hyp 0 Cardiac Tab. Telma-AM 40/Smg Orally (Sam , 8 pm ) Twice Daily Till review_ Others Tab Remyfit - D. Orally. Once Daily Month © Others Tab Lecozyme Orally ‘Once Daily 1Month © Diet Diet as per Dietician. > ined. ns tobe continue as per consulting Doctors. For Emergency & Ambulance: Dial @ 1068 Medanta - Gurugram Medanta - Mediclinic Medanta - Mediclinie Cybercit(®5-07-202 Sectr-38, Guru, Haryana 12200, nka E14, Defence Coy, New Dah -1100 + UG Foo Euking 10, OLFCybecny, Phase , Gunga 122002, Drool 144t4) ae Fax 8 1268411 34919) ANT at Fa 99 19280 1 pear raaanaare Regd. Ofce: Global Hea Limited 18, Detence Colony, New Delhi- 110024, Inda Tok +91 11 4411 4411 Fax: «91 11 2439 1423 2 inlo@mesana or ‘ 2 Core ry Mba - SOND C2019 POOLE AUAU CTA EEEV ELTA eee eee wu