First-of-its-Kind Aneurysm Repair Performed by Dr. Gyana Ranjan Nayak at SUM Hospital, Bhubaneswar

In a landmark case that redefines the boundaries of interventional cardiology in Eastern India, Dr. Gyana Ranjan Nayak, Interventional Cardiologist at SUM Hospital, Bhubaneswar, has successfully led a first-of-its-kind aneurysm repair, highlighting the hospital's growing leadership in complex vascular care.

The patient, a 40-year-old male with known Chronic Kidney Disease (CKD), had previously undergone dialysis catheter placement at another healthcare facility. The procedure resulted in iatrogenic injury to the right subclavian artery, forming a large pseudoaneurysm just 10 mm away from the vertebral artery, with abnormal communication to the right internal mammary artery. The complication progressed to venous compression, leading to thrombosis and swelling of the face and right upper limb.

Upon referral, the case was reviewed through a multidisciplinary Heart Team meeting involving the departments of Cardiology and CTVS at SUM Hospital. Given the complexity and high risk, Dr. Nayak proposed a percutaneous stent graft repair-a minimally invasive solution aimed at reducing infection risk while preserving critical anatomy.

"This case pushed the clinical envelope. The aneurysm's closeness to the vertebral artery made it a technical challenge, but with careful planning and precise execution, we achieved a successful outcome," said Dr. Gyana Ranjan Nayak.

Key Milestones of the Procedure:
The pseudoaneurysm was sealed using a stent graft in the right subclavian artery
The ipsilateral vertebral artery was preserved, preventing neurological complications
The entire procedure was conducted under local anesthesia, reducing procedural risk

Institutional Significance
This is the first successful case of its kind performed at SUM Hospital, setting a precedent for future high-risk endovascular interventions and reflecting a deep culture of teamwork, innovation, and patient-first care.

Acknowledgments
Dr. Nayak expressed his sincere appreciation to the:
Cath Lab staff
CTVS team
Nursing personnel, residents, and faculty
Cardiology department for their collaborative decision-making and support

"This success wasn't mine alone. It was the result of a highly coordinated team that believes in pushing boundaries for the sake of better patient outcomes," Dr. Nayak added.

Contact for Patient Inquiries:
📞 +91 63713 07504
🌐 www.drgyana.com

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About Dr. Gyana Ranjan Nayak
Dr. Gyana Ranjan Nayak is a renowned Interventional Cardiologist at SUM Hospital, Bhubaneswar, specializing in complex coronary and vascular procedures. Known for his innovative, patient-centered approach, Dr. Nayak is committed to advancing minimally invasive cardiac care in Odisha and beyond.

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