Rare surgical procedure gives woman, 72, a new lease on life
“I never could do much of anything since the heart attack,” said Whitaker, now 72 and a lifelong homemaker who is the mother of four grown children. “I went to doctors and they tried everything until there was no more to offer.”
That was before she met Dr. Samy Claude Elayi, a cardiologist with UK’s Gill Heart Institute.
When Whitaker came to UK, Elayi and his team were quickly looking for answers. Whitaker was suffering from several heart issues. An internal defibrillator — which was used to “shock” Whitaker’s heart back into rhythm during one of three different arrhythmias she suffered — was shocking her repeatedly. Each time her heart was shocked, Whitaker had to make a three-hour trip from her home in Whitesburg to Lexington by ambulance or helicopter.
“I wouldn’t wish it on anybody,” said Whitaker about living through numerous shocks. “It was hard to get used to. I was in the hospital every time I turned around.”
During each trip, Whitaker’s condition would worsen.
“The defibrillator going off is a very bad experience for those have gone through it and it is typically described as a ‘horse kicking the chest,’” said Elayi. “It can really dete- riorate the quality of life when it is frequent, as one never knows when it is going to happen.”
Elayi knew that ablation surgery was the only way to stop the shocks.
The procedure consists of inserting a catheter into a patient’s blood vessels to remove a faulty electrical pathway and tissue from the patient’s heart. Typically, the catheter is placed into the patient’s femoral artery, internal jugular or subclavian vein. The catheter is guided toward the heart, and highfrequency electrical impulses are used to induce the arrhythmia and then destroy (or ablate) the abnormal tissue causing it. Those can be in limited area or larger areas, depending of the nature of the arrhythmia.
Typically, the procedure is performed with one target, rarely two. But Whitaker’s case, performed in December 2010, was even more complex.
Elayi and his team — which included Dr. Gustavo Morales — performed an unusual procedure in Whitaker’s case. She became the first known patient to have a triple ablation during the same procedure targeting three areas of the heart in three different chambers of the heart to help it maintain a regular rhythm.
“Performing two ablations during one procedure is commonly done, but three with this complexity is basically unheard of,” said Elayi. “But in this patient’s case, despite the risk, I believed that we could perform three ablations — one for her ventricular tachycardia, one for atrial fibrillation and a third for her atrial flutter — to be effective and do everything when we are in the heart.”
Elayi and his team perform hundreds of ablations on heart patients each year. Some of those procedures can last one or two hours. Others, such as Whitaker’s, can last more than 10 hours, depending on the complexity of the case.
Today, more than a year after the procedure, Whitaker is thankful for Elayi and his team and for their willingness to perform such a complex procedure at once.
“I’m so very pleased,” Whitaker said. “And I feel so much better.” She now says she is able to do some of the things that she hasn’t been able to do for a while — things that many people take for granted.
“I can work in my flower bed outside and do more around the house,” Whitaker said. “It’s easier than it was before. And the best part is, I haven’t been shocked in over a year. I’m doing very well.”
Jodi Whitaker is a public relations specialist for the University of Kentucky.