An infant underwent 18 hour long open heart surgery at Fortis Hospital, Delhi. This is the youngest reported case in the country till date as claimed by the doctors at Fortis Escorts Hospital, Delhi, India.
The baby Mayank Agarwal was born at a hospital in Mathura. Within 18 hours of his birth, he was unable to breathe and hence his body was turning blue. The doctors at Mathura couldn’t understand the reason behind it and hence got in touch with the doctors in Delhi. After discussing the case, he had conversation with the parents of the infant and referred the baby to Fortis Hospital Delhi.
The baby was given artificial oxygen while travelling to the Fortis Hospital in Delhi. The doctors performed diagnosis. As per Dr. Krishna Subramony Iyer at Fortis Delhi, the baby was born with a heart defect called as the obstructed critical total anomalous pulmonary venous connection (TAPVC). This is a medical condition in which the blood does not take the normal route from the lungs to the heart and out of the body. Instead the veins from the lungs are attached to the heart in an abnormal position. These abnormal veins also narrow and the blood tends to dam up. The oxygenated blood enters or leaks into the wrong chamber and the blood gets dammed in the lungs.
Dr. Krishna Subramony Iyer, the Executive Director- Paediatric and Congenital Heart Diseases at Fortis Escorts Heart Institute (FEHI), Delhi said, “The blood passing through the aorta to the body does not have the normal amount of oxygen which cases the baby to become breathless and look blue. The only option in such a condition is the emergency surgery in order to avert the fatal consequences.
Mayak was born in Mathura and within minutes of his birth, he was declared to have severe difficulty in breathing. As the local doctors were unable to treat the baby, they advised the family to rush their child to a multi-super specialty hospital in Delhi. Hence the baby was brought to FEHI. youtube.com/watch?v=0218Ibva4-Y
A decision to perform the open heart surgery was taken at Fortis Escorts. This surgery involved cutting the chest open and performing the surgery on the muscles, arteries or valves of the heart. As per Dr.Krishna Subramony Iyer, the surgery was indeed challenging as it was to be performed on an infant baby and the surgery was required immediately. Even after performing the surgery, there was risk that any organ could get damaged of the infant. The doctor explained everything about the surgery, the risks involved and the possible complications to the parents of the infant. youtube.com/watch?v=0218Ibva4-Y
According to Dr. Krishna Subramony Iyer, “Treating a patient as young as this was a huge challenge, starting with the anaesthetic challenge to the onset of the procedures itself. Even after the surgery is successful, the challenges were not over because the chest had to be kept open for three days to keep the baby under dedicated observation for any emergencies. Currently, the baby is showing normal growth as any three month old would and we expect it to continue with regular follow-ups.”
Dr. Krishna Subramony Iyer said, “Rapid advances have taken place in the diagnosis and treatment of the paediatric congenital heart defects over the last few decades. With current treatment modalities, more than 75% infants born with critical heart diseases can survive beyond the first year of life and many can lead near normal lives. The key is early diagnosis and timely intervention.”Contact India Cardiac Surgery Site to book an appointment with Dr. Krishna Subramony Iyer.
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