Surgery to Repair Hole in Patient’s Heart

Nancy: If you take the oxygen away from me
and Iím up and walking around I become dizzy, very short of breath and my lips start to
get nice and blue. I feel like I have a Sumo wrestler sitting on my chest.
Nancy: So my eighty-three year old mother has been taking care of me for the past two
years. Mother: We are making Foo Yong. Nancy: When I came into the hospital a year
ago I did have two clots in my right lung but we didnít know that there was more going
on. Nancy: What I have is patent foramen ovale
or PFO, basically a hole in the heart, from the left side to the right side, the oxygenated
and the de-oxygenated blood are mixing. And I start losing my oxygen. I could go on living the rest of my life and
never close up the hole in my heart. But whereís my quality of life? Dr. Azimi: Knock, knock. Nancy: Hi. Dr. Azimi: This is Dr. Dimitri Sherev, okay. Dr. Sherev: Hi, nice to meet you. Nancy: Oh, itís so nice to meet you. Dr. Sherev: Yes, nice to meet you. Nancy: The other day I went toÖto change
the sheets on my bed. It took me three hours. Dr. Azimi: There are lots of people with PFOs
but they donít have platypnea-orthodeoxia. Itís a very rare syndrome. Itís been around
for about a hundred years. But most of the literature on it has been in existence for
the last five to ten years. We have an option of doing something risky,
but with benefits. Nancy: Theyíre going to go in through a vein
in my leg, all the way up into my heart. Once they get the device over the hole they open
it like an umbrella. Then they tighten it down. Over the next six months my bodyís going
to build a new heart wall. I know in my heart of heart Iím in the right place. Dr. Azimi: Iíll see you in the hospital. Nurse: You ready? Nancy: I am. Nurse: Iím going to call the floor and let
them know that youíre on your way up. Dr. Azimi: My patients want caring, and caring
isnít always a diagnosis, you know. Caring can sometimes be that hug, you know. I hug
my patientsÖ Dr. Azimi: Once sheís all sedated weíre
going to confirm that the PFO will tolerate being closed. Then we go ahead with our device,
deploy it to make sure that itís in correct position, close the PFO and then come out
and close everything. Weíre doing the PFO closure. Dr. Sherev: Letís have the probe please. Dr. Azimi: Dr. Sherev is working on doing
the trans-esophageal echo. Male: Right there. Dr. Sherev: That was classic. Dr. Azimi: Oh this is beautiful. Dr. Sherev: Okay, just hold the probe, please. Dr. Azimi: It all fits the syndrome. Weíre
on the right track. Dr. Sherev: All right, this is the device
that will go in. Itís called a CardioSEAL Septal Occluder. This is what we deliver the
device through. Iím just going to have to load it on. Okay, thatís it. There it is.
Push it in. Dr. Azimi: Weíre putting a catheter in her
groin. Dr. Sherev: Yeah, thatís it. Thatís it right
there. Dr. Azimi: So thatís our catheter across
into the heart. Okay, hereís our device going to be coming up. Dr. Sherev: Okay, there it is. Dr. Azimi: So that spider that you see there
is the device now. Dr. Sherev: Iím okay with deploying it here.
Look how nice it sits now. Dr. Azimi: Itís gorgeous, Dimitri. Dr. Sherev: All right, Iím happy with its
position. Dr. Azimi: Yes Iíll give you a high five,
Dimitri, all right. Dr. Sherev: The ultimately proof will be if
she comes back inÖin a month and says, “Dr. Azimi, I donít have to use oxygen anymore.” Dr. Azimi: Everything went very smoothly,
okay. We put the closure device in, there was no complications. Mother: Oh itís just so good to talk to you. Dr. Azimi: Yes itís great. Sheís going to
do well, okay. Mother: Thank you. Dr. Azimi: All right, you take care. Mother: Bless you. Dr. Azimi: Thanks. Nancy: The last time you saw me I was hooked
to oxygen 24 hours a day. And now look at the difference. I have my life. IÖI can walk
around without having to drag an oxygen tank. The real excitement for me came when they
finally were able to stand me up for the first timeÖand my oxygen level without any oxygen
mask was a 100 percent. And Dr. Azimi was jumping around. It was great. Dr. Azimi gave me the option of going to the
Mayo Clinic or some famous place to have it closed. But they werenít the ones that diagnosed
it. They werenít the ones that figured out what was going on with my heart when no one
else could. Now that itís been a year my body has basically
built a new heart wall over the device. And I cook now. I got a crepe pan from my
mother for Christmas and Iím back making my cheesecakes again. I love to cook for people.
I make a mean raspberry coulis.