Jun 02 2017 : The Times of India (Chennai)
Docs perform open-heart surgery on premature
baby
Umesh Isalkar
|
Pune
|
In a rare feat, the city doctors successfully performed an open-heart surgery on a premature baby weighing only 1.5kg. The baby was suffering from an extremely critical congenital heart defect, which made the surgery a necessity for the newborn's survival. According to the hospital, this is the first successful open-heart surgery performed on such a small baby in the country .The baby was born premature at 33 weeks at a hospital in Baramati, where doctors noticed low oxygen levels in his blood. Upon investigations, the baby was diagnosed with a serious heart condition where the veins bringing oxygenated blood from the lungs were connected to the liver instead of the heart.The baby was immediately shifted to Ruby Hall Clinic in Pune. In the third week after his birth, surgeons performed the open-heart surgery on his “walnut-sized“ heart successfully last week.The child is recuperating and will be discharged in another two weeks. Consultant paediatric cardiac surgeon Srinivas M Kini, who performed the surgery , said, “His was a case of Infracardiac Total Anomalous Pulmonary Venous Connection where the veins bringing oxygenated blood from the lungs were connected wrongly to the liver instead of the heart.“
The “extremely high-risk surgery“ was a huge challenge. “Clockwork precision was the need of the hour. The size of the baby's heart was equivalent to a walnut. Without the open-heart surgery , the baby had no chances of survival,“ Kini said.
The baby was operated on `Total Circulatory Arrest' where the body was cooled to 18°C against the normal body temperature of 37°C. The infant was put on a heart-lung machine and blood circulation was stopped to allow a bloodless field during surgery . “The abnormal connection of veins to the liver was disconnected and reattached to the proper site at the back of the heart. After the surgery was completed, the blood circulation was started again and the baby was rewarmed to normal body temperature,“ Kini, who carried out the surgery on May 22, said.
The baby was taken off ventilator on May 27. He started breathing on his own within a week of the surgery .
The “extremely high-risk surgery“ was a huge challenge. “Clockwork precision was the need of the hour. The size of the baby's heart was equivalent to a walnut. Without the open-heart surgery , the baby had no chances of survival,“ Kini said.
The baby was operated on `Total Circulatory Arrest' where the body was cooled to 18°C against the normal body temperature of 37°C. The infant was put on a heart-lung machine and blood circulation was stopped to allow a bloodless field during surgery . “The abnormal connection of veins to the liver was disconnected and reattached to the proper site at the back of the heart. After the surgery was completed, the blood circulation was started again and the baby was rewarmed to normal body temperature,“ Kini, who carried out the surgery on May 22, said.
The baby was taken off ventilator on May 27. He started breathing on his own within a week of the surgery .
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