A novel Pediatricheart surgery cures a 9 year old boy’s birth defect, at Wockhardt Hospital,
Mumbai Central - one of the first centres to do it in India:
Tejas Ahire weighed 15kg, at the age of 9 and was diagnosed with congenital heart disease.
He was a blue baby complaining of breathlessness and no weight gain. Through a
camp, Dr. Suresh Joshi and team came to know
about Tejas' condition. After evaluation, doctors revealed that Tejas presented
with a heart condition called transposition of the
great arteries, which occurs during foetal growth when the baby's heart
is developing. This birth defect is unknown, in most cases.
This condition is a rare heart defect present during birth (congenital), in which the two main arteries
leaving the heart are reversed (transposed). Heart surgery is needed to correct
the condition. Transposition of the great arteries changes the way blood
circulates through one’s body, leaving a shortage of oxygen in blood flowing
from the heart to the rest of the body. Without an adequate supply of
oxygen-rich blood, the body can't function properly and the child faces serious
complications. Furthermore the defect is accompanied with a condition called Ventricular Septal Defect (VSD), which is a
hole in the wall separating the two lower chambers. It was also observed that
the blood flow to his lungs was decreased.
Under the experienced hands of
the Paediatric cardiac surgery team at
Wockhardt Hospital Mumbai Central led by Dr. Suresh Joshi, Consultant PediatricCardiac Surgeon, and Dr. Manish Chokhandre, Interventional Paediatric Cardiologist the surgery was effectively
carried out.
Dr. Suresh Joshi, Consultant Paediatric
Cardiac Surgeon, Wockhardt Hospital, Mumbai Central,
said “When it comes to Tejas, in the first stage known as Glenn shunt surgery, we
added a tube carrying blood from the lower body to the pulmonary artery, but
the communication was closed using a membrane. The connection is made into the
tube so that the deoxygenated blood gets directed to heart only, thereby
avoiding sudden flooding of lungs and providing a platform to finish the second
stage in Cath lab without the need for surgery.”
Six months later in the month of
February 2019, the completion of the Fontan, the second stage procedure, was
carried out in a Cath lab by Dr. Manish Chokhandre,
interventional paediatric cardiologist, who perforated the membrane
between the tube and pulmonary artery, and balloon dilated the communication
and closed the other holes (which was directing blood to the heart). The device
provided a pathway that the de-oxygenated
blood from the lower half of the body easily gets directed to the lungs.
According to Dr. Manish
Chokhandre, Pediatric Cardiologist, Wockhardt Hospital, Mumbai Central there
are no such published cases in literature from India and very few centres fromabroad are performing this kind of surgery. This procedure has many benefits. Firstly
there is no need for opening the chest surgically. Thereby a
patient can have an early recovery, reduced hospital stay, fewer complications,
and no post-procedure pain. This definitely makes the procedure cost effective.
Wockhardt Paediatric and
Congenital Heart Centre is one of a kind in Mumbai. It boasts an experienced
panel of paediatric surgeons, cardiologist, intensivists, and anaesthetists,
per fusionists and trained nurses as well as technologists who as a team
deliver the best care to children with congenital heart diseases.
Paediatric cardiac surgery in children are indicated to repair
heart defects a child is born with CHD (congenital heart defects) and heart
diseases a child gets after birth. Cardiac defects are grossly divided into acyanotic
and cyanotic heart diseases, former being more common. Paediatric cardiac
surgery is needed for the child’s wellbeing is carried out by highly
specialised and reputed paediatric cardiac surgeons of Wockhardt Hospital.
The department has played a pioneering role in
both on and off pump cardiac neonatal surgeries as well as complex congenital
heart surgeries and repeat open heart surgeries.
Our state of the art Cardiac Catheterisation
and Interventional Cardiology facilities
assist our expert paediatric
cardiologists in dealing with closure of ASD, VSD, PDA etc. and other congenital heart surgeries .A full-fledged PICU which is under the guidance of protocol
and evidence based management and is under the constant care of Consultant
Paediatric cardiac care team. The department is also supported in Imaging devices such as Foetal
Echocardiography ,Advanced 3-d Echocardiography and 2-d portable
echocardiography for precise diagnosis
of congenital heart defects in new born
and children .
For any further information and
treatment on birth defects in the heart please, visit our paediatric cardiology
department at Wockhardt Hospital, Mumbai Central.
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