"Without the airport medical team's prompt response in reviving him, it would have been impossible for Fernandes to survive," said cardiac surgeon Dr Satya Prasad who operated on the patient for five hours at SevenHills Hospital in Marol.
Fernandes, who had a stent fitted in one of his arteries a decade ago, suffered a cardiac arrest when standing on the travellator in front of T2's Gate 70. He had returned from the US after a month-long break via Frankfurt.
Cardiac arrests are among the highest forms of medical emergency because the window period to help the patient is barely a few minutes. American statistics say that almost 90% patients who suffer a cardiac arrest outside hospital settings don't survive.
An airport official told TOI that the medical team started cardio-pulmonary resuscitation on Fernandes within a few minutes of his collapse. "He had no pulse and no cardiac activity due to the cardiac arrest," said an airport official. Also, he was given four shocks using an automated external defibrillator and a tube was placed into his windpipe to keep the airways open. But Fernandes's condition was so delicate that he suffered another cardiac arrest in the ambulance while being transported to hospital around 2pm on September 5.
At the hospital, the patient was first fitted with an intra-aortic balloon pump to help the heart beat. "We found that one of his arteries had 100% blockage and four others had 99% blockages," said Dr Prasad.
While Fernandes is still in the intensive cardiac care unit, Dr Prasad said the patient had shown adequate response immediately after the surgery to rule out any damage to his other organs. "He will need a few more days of ICU care and intense rehabilitation," the doctor added.
Cardiac surgeon Shripal Doshi said, "It is an achievement that the patient was revived multiple times, transported in the city's chaotic transport and operated within the shortest possible time." Heart surgeon Ajay Chaughule said, "If a patient gets a cardiac arrest on Mumbai's road, it would have been impossible for him to access treatment in time."
(Patient's name has been changed to protect his identity)
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