Rare cardiac surgery on a 10 day baby at KLES Dr. Prabhakar Kore Hospital

Team of Cardiac Surgeons lead by Dr. Praveen Tambrallimath successfully performed complex heart surgery on a 10 days baby weighing less than 2 Kgs and gave a new lease of life to the baby.

A Goan lady delivered twin female babies at Goa Medical College, Bambolim, Goa. One of the babies immediately after delivery had difficulty in breathing and turning blue. As a life saving measure, the baby was intubated put on ventilator.

2D Echo examination revealed the baby is suffering from complex congenital heart disease medically termed as Transposition of Great Arteries, TGA (main arteries of the heart were misplaced). In this critical condition the child was shifted in an ambulance to Cardiac Surgery Department of the KLES Dr. Prabhakar Kore Hospital, Belagavi.

Dr. Praveen Tambrallimath examined the baby and diagnosed the child is suffering from serious birth defect of the heart that needs supra major surgery. Transposition of the Great Arteries, TGA is a birth defect of the heart in which the two main arteries carrying blood out of the heart – the main pulmonary artery and the aorta – are switched in position, or “transposed (altered).” For such birth defects immediate surgery is the only option. The parents were counselled and consented for the surgery. The 8-hour long surgery on a 10 days baby weighing less than 2 Kgs operating on delicate heart which is less than 50 gms is a challenge and involved great surgical skills, pursuance and patience. The arterial switch operation involved connecting great arteries to the correct pumping chambers was performed. The anomalies in the heart were surgically corrected. The baby withstood the surgery, for 15 days baby was stabilised in post-surgical Cardiac ICU. Dr. Praveen expressed that if untreated, over 50 percent of infants with transposition will die in the first month of life. The baby is operated under ambitious Goan Health program, Deen Dayal Swasthy Seva Yojana (DDSSY)

The surgical team consisted of Dr. Nikunj Vyas. Dr. Anand Vagrali & Dr. Sharangouda Patil extended anaesthesia back-up, Dr. Nidhi Manvi Goel, Paediatric Cardiac Intensivist post surgically managed baby. Jubilant parents & family members of the baby are extremely happy with the successful outcome of the surgery & thanked the personal care extended by skilled nursing staff. The baby is perfectly fine and discharged from hospital and ready to get united with other baby in home at Goa.

Dr. Prabhakar Kore, Chairman of the KLE Society & Dr. M V Jali, Medical Director have congratulated the team of Doctors for the excellent surgical work.

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