Connect with us


Durdans Heart Centre performs five successful TAVI cardiac procedures for the first time in SL



Durdans Heart Centre has reached a landmark by performing five successful TAVI (Transcatheter Aortic Valve Implantation) cardiac procedures, while the patients were under local anaesthesia, for the first time in Sri Lanka.

Dr. Pandula Athauda-Arachchi became the first Sri Lankan, fully independent specialist to have implanted TAVI valves under this procedure. He is also credited with implanting devices in t0wo different platforms and performing Sri Lanka’s first TAVI for morphologically abnormal bicuspid valves as well as the normal tricuspid valves.

The aortic valve plays a key role in the body’s blood pumping mechanism. It’s failure causes chaos in all the vital organs. Factors such as age-related wear and tear or defects from birth can cause the aortic valve to narrow, restricting blood flow which deprives the rest of the body of oxygen.

Dr. Athuada-Arachchi explained that the Transcatheter Aortic Valve Implantation (TAVI), with meticulous pre-planning, enabled him to replace the valve within 90 minutes in certain cases. Despite operating on high-risk individuals, it reduces the risks associated with open-heart surgery and general anaesthesia. It involves carefully choosing and placement of a balloon-expandable (MyVal or Edwards) or self-expanding (Medtronic Evolut™ R) transcatheter aortic heart valve after precise crushing off of the diseased valve leaflets.

Every year, many such patients who need an aortic valve replacement, are deemed to be of high risk, will be turned down for open-heart aortic valve replacement surgery and eventually end up with prolonged heart failure or sudden death.

Due to innovation and progress in the medical industry and skilled medical specialists over the last few years, this unmet need for high-risk valve replacement has become simpler and safer with the use of TAVI.

The procedure is performed by inserting a catheter with the valve into the body through a small incision and navigating it to the affected valve, the patient remains fully conscious during the procedure, which only lasts about 90 minutes. TAVI allows for a shorter recovery time, mobilisation within 24 hrs and reduces the risk of infection, stroke, need for dependence on ventilators. Typically, despite their age or multiple medical issues, patients can be discharged from the hospital in three days.

Recently, TAVI was performed on two elderly patients at the Durdans Heart Centre.

Continue Reading
Click to comment

Leave a Reply

Your email address will not be published. Required fields are marked *


AG says no legal impediment to Bathiudeen attending Parliament



Public Security Minister: Those detained under PTA shouldn’t be allowed in

By Shamindra Ferdinando

Attorney General Dappula de Livera, PC, says there is no legal impediment to Opposition MP Rishad Bathiudeen attending Parliament while being detained in terms of the Prevention of Terrorism Act (PTA).

The CID arrested the leader of the All Ceylon Makkal Congress (ACMC) in the early hours of April 24 for aiding and abetting the 2019 Easter Sunday suicide bombers.

Multiple blasts in different locations killed 270 people and wounded about 500.

The AG set the record straight in the wake of the CID failing to arrange for MP Bathiudeen to attend Parliament on May 4 and 5.

The Island learns that Police Headquarters recently consulted the AG as regards the legality of the Vanni District SJB MP attending parliamentary sessions and the SJB, on his behalf, requested the Speaker to facilitate the arrangements.

The ACMC contested the last general election on the SJB ticket. Its parliamentary group comprises four, including Bathiudeen.

The police sought the AG’s advice after having received a missive from Serjeant at arms Narendra Fernando in that regard. The AG has advised the police that MP Bathiudeen could attend parliamentary sessions.

However, Public Security Minister Rear Admiral Sarath Weerasekera has advised the police against the ACMC leader attending Parliament. The Minister has issued instructions in this regard having requested the Speaker Mahinda Yapa Abeywardena to prevent those detained under the PTA from attending parliament.

MP Bathiudeen has been detained for a period of 90 days pending investigations. His brother Riyajj too has been detained under PTA for 90 days.

 Minister Weerasekera, in Parliament yesterday (5) defended his decision to prevent MP Bathiudeen from attending parliament. Dismissing concerns raised by SJB MP Field Marshal Sarath Fonseka and TNA MP M.A. Sumanthiran about the ACMC leader being deprived of his right to attend parliament sessions, Minister Weerasekera emphasized that he was responsible for public security.

Minister Weerasekera reminded Speaker Abeywardena that he had requested him not to allow anyone detained under PTA to attend parliament pending conclusion of investigations.

Weerasekera said that the CID wouldn’t have detained the MP concerned without valid reasons.

Perhaps, Field Marshal Fonseka had no concerns for public security, the former Navy Chief of Staff said, emphasising that the government wouldn’t conduct investigations the way the former Army Commander and the TNA spokesman desired.

Bathiudeen earlier served in the Cabinets of President Mahinda Rajapaksa (2010-2014) and President Maithripala Sirisena (2015-2019). The ACMC switched its allegiance to SJB at the 2020 August parliamentary election after having backed Sajith Premadasa’s candidature at the 2019 presidential.

Bathiudeens’ lawyer Rushdhie Habeeb told The Island that the decision to prevent MP Bathiudeen from attending parliament was political. Habeeb said that the issue at hand would be raised vigorously, both here and abroad, and a media briefing would be called soon to explain the situation.

Continue Reading


MONLAR draws attention to ticking COVID time bomb in plantations



By Rathindra Kuruwita

A large number of estate workers had been diagnosed with COVID-19, and given the generally congested living environment and lack of health facilities on plantations, the entire estate sector was a ticking time bomb, Moderator of the Movement for Land and Agricultural Reform (MONLAR) Chinthaka Rajapakshe said yesterday.

Rajapakshe told The Island  that the latest outbreak on the estates had occurred after the return of some persons from Colombo during the Sinhala and Tamil New Year.

“We had warned that this would happen. People kept on returning home although the preparedness of the plantation economy to face a COVID-19 outbreak was non-existent.”

 “If one person gets it, the entire line will get it, and therefore urgent steps should be taken to minimise COVID-19 spread,” Rajapakshe said, adding that such an eventuality would not only destroy lives but also cripple the plantation sector, causing an enormous loss to the state coffers.



Continue Reading


Clandestine dealings of fishers will precipitate spread of deadly Indian variant here – Expert



By Rathindra Kuruwita

There was a risk of the deadly Indian COVID-19 variant spreading to Sri Lanka as well, Chief Epidemiologist of the Ministry of Health, Dr. Sudath Samaraweera told the media yesterday in Colombo.

Dr. Samaraweera said that Sri Lankan fishermen continued to interact with their Indian counterparts in mid-sea and therefore it was only a matter of time before the Indian variant entered Sri Lanka.

“We must be extremely vigilant. We have seen the devastation caused by this variant in India. These mid-sea interactions by the fishing community must be stopped.”

Dr. Samaraweera added that although the Dambulla Economic Centre

had been reopened for business yesterday morning, health officials had been compelled to close five shops as their owners violated the Covid-19 protocol.    

“This is a commercial hub where people from all parts of the country converge. So, if there are COVID-19 cases here, then it will spread across the country. Therefore, people have to act carefully and responsibly.”

Continue Reading