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Heart surgery gives new lease of life to infant

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Express News Service

Posted: Oct 12, 2008 at 0022 hrs IST

Chandigarh, October 11 In a rare feat, doctors at PGI Chandigarh successfully performed an open-heart bypass surgery on a 2.5-kilogram newborn suffering from pulmonary atresia on September 25. The ailment is characterised by severe narrowing of the artery carrying blood to the lungs. In addition, the child also had severe jaundice.

A team of doctors from three different departments — Cardiology, Cardiovascular Surgery and Anaesthesia — diagnosed and operated upon the 26-day-old baby.

“We have operated on such cases in the past as well but this was the first time an open-heart surgery was performed on a 2.5-kg infant whose vital organs like lungs, heart and kidney were still developing,” said Dr Rana Sandip Singh, who performed the surgery. Dr G D Puri led the Anaesthesia team.

Manpreet Kaur, a resident of Chandigarh, gave birth to the girl on August 31. It was a normal delivery. But after few days, she noticed that the baby was having difficulty in breathing and was turning blue. On September 16, the baby was admitted in the Paediatric Emergency Department.

Dr Rohit Manoj Kumar, Paediatric Cardiologist, conducted an echocardiography which revealed that the child had pulmonary atresia. “It’s an uncommon heart ailment among children, with one in a thousand children suffering from it. Since the baby had very low weight, the diagnosis had to be extremely accurate before the surgery,” said Dr Kumar.

The child was immediately shifted to the neonatal intensive care unit and put on medication to increase blood flow to the lungs. A surgical team was consulted and the family was informed that the infant would require urgent surgery.

“The family was given the option of a closed-heart surgery (BT Shunt), which would require subsequent repairs, or an open-heart surgery, which would be complete in one go,” said Dr Rana.

During the surgery, the pulmonary artery was enlarged using pericardium (outer layer of the heart). The child was kept on a ventilator for the next five days.

“Post-operative serial echo tests showed good heart function through the reconstructed pulmonary artery. At present, the child has been kept in the incubator with little supplemental oxygen and is being breast fed by the mother. We hope to discharge the infant in a couple of days,” said Dr Rana.

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