Sahyadri Hosp conducts rare surgery on 2-yr-old

ST Correspondent
Tuesday, 8 August 2017

TAPVC is a rare condition, which is found in three out of 10,000 babies with congenital defects and needs treatment. One chamber of the patient’s heart was not developed and a large hole was detected in her heart.

Pune: Sahyadri Hospital successfully conducted a complicated surgery on a two-year-old, who was suffering from an extremely rare heart disease, Total Anomalous Pulmonary Venous Connection (TAPVC). She had developed severe breathing problems three months back and her condition kept worsening.

A resident of Beed, the two-year-old weighed only seven kg and had bluish coloured eyes and nails when she was admitted. The baby required emergency surgery, which was performed free of cost, under the Government Health Scheme, and the child was discharged safely seven days after the operation.

TAPVC is a rare condition, which is found in three out of 10,000 babies with congenital defects and needs immediate treatment. One chamber of the patient’s heart was not developed and a large hole was detected in her heart.

In addition, oxygenated blood was not reaching the heart from the lungs directly. Another complication was that the veins carrying the oxygenated blood from the lungs were attached to the chamber of heart which contains non-oxygenated blood. This led to a situation where her entire body received mixed blood, which created a deficit of oxygenated (pure) blood in her body.

It took about four hours to construct a new chamber in the heart and direct the veins from lungs to carry the oxygenated blood to this chamber. Further, this pure blood follows the normal course in the heart and then is directed to the entire body. After spending two days in the Intensive Care Unit (ICU), the child was discharged in a week, post the extremely rare operation.

Sahyadri Hospital’s Cardiac Anaesthetist Dr Shantanu Shastri said that in addition to being a major cardiac surgery, the patient was young and also the low weight increased the risk factors of administering anaesthesia greatly.

“These complexities made the case very intricate but since we had a team of adept doctors and the best of facilities, the operation was conducted successfully with ease. We, at Sahyadri Hospitals, perform around 15 paediatric cardiac surgeries a month and have completed 500 successful paediatric cardiac surgeries to date,” said Shastri.
 

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