- Cleveland Clinic Abu Dhabi have multidisciplinary program for Chronic Thromboembolic Pulmonary Hypertension
- Abdullah Al Shammari was admitted to Cleveland Clinic Abu Dhabi with no blood flow in his body below the heart
Abu Dhabi, United Arab Emirates. August 30, 2024: Cleveland Clinic Abu Dhabi, part of the M42 group, successfully performed life-saving open chest surgery to treat a 31-year-old patient, suffering from Chronic Thromboembolic Pulmonary Hypertension (CTEPH).
This life-threatening condition is caused by high pressure within the pulmonary artery which affects the vital flow of blood from the heart to the lungs. This rare disease affects approximately 3 to 30 individuals per million and has a high mortality rate. Approximately 0.4% to 4.8% of patients diagnosed with acute pulmonary embolism will develop CTEPH.
Abdullah Al Shammari, suffered from the rare disease for five years and his severe symptoms included multiple blood clots and coughing up blood. He was admitted to Cleveland Clinic Abu Dhabi when his coughing intensified into vomiting blood which led to heart failure.
To tackle Abdullah’s complex case, the multidisciplinary team at Cleveland Clinic Abu Dhabi devised a comprehensive approach for diagnosis and treatment planning. It has achieved a remarkable 100% success rate, ensuring excellent survival outcomes without any instances of mortality or significant morbidity.
Dr. Usman Ahmad, Department Chair of Thoracic Surgery at the Heart, Vascular and Thoracic Institute described the condition as potentially life-threatening if left untreated. “Upon our initial assessment, we recommended several tests to pinpoint the root cause of Abdullah’s condition. Through this process, we found evidence of CTEPH. Abdullah faced abnormal pressure in his heart, coupled with extensive clotting in the blood vessels beneath it. These clots had migrated to his lungs, causing significant breathing difficulties and escalating heart pressure, ultimately leading to heart failure,” said Dr. Ahmad.
Explaining the complexity of anesthesia in such complex cases, Dr. Arun Kumar, Staff Physician, Cardiothoracic Anesthesia, Anesthesiology Institute said, “During the procedure, we had to fully open the chest and connect it to a heart-lung bypass machine to do a deep hypothermic circulatory arrest. This involved lowering Abdullah’s body temperature to 18°C to temporarily halt bodily functions. During this period, we carefully assess the lung blood vessels, meticulously removing scar tissue to restore functionality. Subsequently, blood circulation is resumed via the machine, gradually warming the body and reactivating the heart and lungs, enabling normal function to resume.”
Al Shammari said, “I felt suffocated, my illness left me feeling distracted and confused. I couldn’t walk, talk, or do anything. I pretended to be strong on the outside but was broken inside. My suffering began with intense coughing up blood. One day, it worsened, leading to terrifying amounts of vomiting blood.”
Removing blood clots or scarring inside the lung is a technically demanding procedure. It requires meticulous anesthesia to halt heart function and blood flow throughout the body during the eight-hour surgery. Abdullah was cared for by a team of surgeons, pulmonologists, cardiologists, interventional cardiologists, and interventional radiologists at Cleveland Clinic Abu Dhabi.
Explaining the complexity of anesthesia in such complex cases, Dr. Arun Kumar, said, “In complex cases such as CTEPH, the stakes are high. As an anesthesiologist, my focus is on preventing dangerous drops in blood pressure. Meticulous attention to detail is required in planning and execution and care. It’s about safeguarding every patient’s well-being with every decision we make.
“When I regained consciousness after ten hours in the recovery room, I was in pain, but soon I began to feel much better, and my condition improved significantly. I could breathe again, the suffocation vanished, and it felt like I had been given a new lease of life. The doctor even told me that I was born again,” said Al Shammari, who now leads a happy and healthy life with the support of lifelong medication.
Al Shammari’s journey to restore health is a reaffirmation of Cleveland Clinic Abu Dhabi’s personalized, multidisciplinary approach to care, enhanced with the use of cutting-edge technologies.
To learn more about Cleveland Clinic Abu Dhabi’s Heart, Vascular & Thoracic Institute visit, https://www.clevelandclinicabudhabi.ae/en/institutes-and-specialties/heart-vascular-and-thoracic-institute
For more information on Cleveland Clinic Abu Dhabi’s Transplant Center visit, https://www.clevelandclinicabudhabi.ae/en/institutes-and-specialties/transplant-center
To book an appointment at Cleveland Clinic Abu Dhabi, call 800 8 CCAD (2223) visit www.clevelandclinicabudhabi.ae or download the Cleveland Clinic Abu Dhabi Patient Portal App.
About Cleveland Clinic Abu Dhabi
Cleveland Clinic Abu Dhabi, part of the M42 network, is a multispecialty hospital on Al Maryah Island in Abu Dhabi, UAE. Cleveland Clinic Abu Dhabi is a unique and unparalleled extension of US-based Cleveland Clinic’s model of care, specifically designed to address a range of complex and critical care requirements unique to the Abu Dhabi population.
Cleveland Clinic Abu Dhabi has the following Institutes and Departments: Heart, Vascular & Thoracic, Neurology, Digestive Disease, Eye, Respiratory, Critical Care, Oncology, Transplant, Surgical Subspecialties, Medical Subspecialties, Emergency Medicine, Anesthesiology, Pathology & Laboratory Medicine, Imaging, Quality & Patient Safety, Clinical & Nursing, Research and Education Departments. In all, more than 50 medical and surgical specialties are offered at Cleveland Clinic Abu Dhabi.
The campus is also home to a stand-alone and dedicated cancer center, Fatima bint Mubarak Center. The state-of-the-art, facility provides patients with access to diagnostics and treatment options through world- class facilities across 24 clinical departments that include a range of cancer subspecialties and programs: Blood Cancers, Breast Cancers, Endocrine Cancers, Gastrointestinal Cancers, Genitourinary Cancers, Gynecological Cancers, Head and Neck Cancers, Neurological Cancers, Thoracic Cancers, Ophthalmological Cancers and Soft Tissue Cancers among others.
Cleveland Clinic Abu Dhabi provides patients in the region with direct access to the world’s best healthcare providers and Cleveland Clinic’s unique model of care that includes state-of-the-art amenities and world- class service standards closer to home.
M42 is a global tech-enabled health company, head-quartered in Abu Dhabi, operating at the forefront of medical advancement.
Visit us at www.clevelandclinicabudhabi.ae