Gurugram, 12th August 2023: Recently, doctors at Paras Health, Gurugram, successfully saved the life of a one-month-old baby. From Kenya who was suffering from very complex congenital heart defect. The baby was brought to the hospital with breathing difficulty and inability to take adequate feeds and records from home country in which child diagnosed with a hole in his heart and other complexities of heart structure. The parents had lost all hope because no other hospital in Africa was willing to operate on the baby because of the complexity of the case and challenge of operating on 3kg baby with complex heart defect. However, with further recommendations from doctors in Kenya, the couple, with their baby finally came to Paras Health. Gurugram where baby was Evaluated by Pediatric Cardiology and Pediatric Cardiac surgery team experts. Who diagnosed the patient’s underlying condition with their exceptional expertise and specialization in the field.
Doctors evaluated the baby and diagnosed a Complex Congenital Heart Defect in which both great vessels, the Aorta and Pulmonary Artery, arose abnormally from the right ventricle (Double Outlet Right Ventricle defect – DORV) with a large ventricular septal defect (hole in the heart). They also found accessory mitral valve tissue causing severe leakage from the Mitral valve (severe MR), and a small main vessel (Hypoplastic Aortic Arch) that carried blood to the whole body, leading to unrestricted pulmonary blood flow. Mostly these complex cases require a Multistage surgery 2 to 3 surgeries. To rectify these defects over a period of 2 to 3 years.
Looking at the condition of the baby, Dr. Mahesh, Chief and HOD – Paediatric & Adult Cardiothoracic & Vascular Surgery. Dr. Shyamveer Singh, Consultant – Pediatric Heart Surgery, and Dr. Deepak, Senior Consultant – Pediatric Cardiology at Paras Health. Along with their team, had detailed surgical meet to look for feasibility of giving the child single stage complete repair of this complex heart defect. The team found it to be a challenging case, but with their experience and expertise, they decided to perform a single-stage complete repair.
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Commenting on the complexity of the case, Dr. Mahesh Wadhwani, Chief and HOD – Paediatric & Adult Cardiothoracic & Vascular Surgery. Paras Health, said, “This was a complex case requiring immediate medical intervention. The baby arrived at the hospital with extremely complex life-threatening heart defect. The main challenge was not only to save his life but also to ensure the baby remained healthy. The unique aspect of the case was the surgery performed i.e., Routing the vessels to correct chambers. Closure of hole in heart, repairing the Mitral valve and Aortic Arch Augmentation; a complex cardiac surgery.
Unlike the usual approach where surgeons carry out the procedure in two stages—arch repair with PA band followed by intracardiac repair as the second stage—the team, considering the case’s complexity and their experience, performed both procedures simultaneously. The surgeons completed the surgery successfully, managed the baby well during the expectedly morbid postoperative ICU stay, discharged the baby within 9 days, and the baby now leads a thriving, healthy life. Additionally, the team’s dedication and expertise, combined with the hospital’s cutting-edge technology. Allowed us to provide the best possible care to the young patient.”
Adding to the patient’s condition, Dr. Deepak Thakur, Senior Consultant – Paediatric Cardiology, Paras Hospitals, Gurugram, said. “The baby was suffering from an exceptionally rare combination of heart defects. Besides the intricate surgery, managing small baby 3kg with complex cardiac surgery in the ICU is typically quite demanding and has equally tough challenges as is the surgery. In this case, the child spent 7 days in the ICU and was in critical condition. However, the medical team efficiently treated and saved the baby with proper preoperative planning, continuous monitoring, and prompt intervention on post-surgery complications.”
When treating a heart defect in a child our team policy and approach is to provide single stage cure, a sustainable result to lead healthy heart for future life and meticulous planning for each case to make hospital and ICU stay minimum for these babies. Congenital heart disease (CHD) affects a considerable number of children globally and in India. It’s the most common type of birth defect. Accounting for about 8 to 10 babies out of 1000 live births in our country.
About Paras Health:
Managed by a team of experienced doctors and dedicated to change the face of healthcare in India. The flagship hospital of Paras Health is on a mission. To make the best medical infrastructure and expertise accessible and affordable. Besides full-time specialists in Neurology, Neurosurgery, Cardiology, Cardiothoracic vascular surgery (CTVS). Cancer Care, Orthopaedics & Joint Replacement, Nephrology & Kidney Transplant, Urology, Gynaecology & Obstetrics. Pulmonology, the hospital has 2 fully equipped Cardiac Cath Labs, state-of-the-art Cancer centre. Dialysis and Endoscopy suites, and a comprehensive blood bank.
Paras Health, Gurugram is 250 bedded flagship hospital of Paras Healthcare, spread across 3,50,000 square feet and 6 floors. The hospital has 9 centers of excellence and 55 super specialties. There are 75 critical care beds, 10 modular operation theatres, and 24-hour emergency services.
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