Baby undergoes complex heart surgery and recovers

A baby girl less than a month old is said to be recovering after having recently undergone a complex heart operation requiring high precision, in a hospital in the city. The infant suffered from cyanotic congenital heart disease with duct-dependent pulmonary circulation, doctors at Medanta Hospital said.

The team that operated on her included Dr. Gauranga Majumdar (Director of Cardiothoracic and Vascular Surgery), Dr. Aakash Pandita (Senior Consultant and Head of Neonatology) and Dr. Roli Srivastava (Consultant in Pediatric Cardiology).

Explaining the operation, Dr Majumdar said: ‘Just imagine a five-day-old child coming to you with complaints of bluish discoloration of the body. She suffered from complex cyanotic congenital heart disease, namely double outlet right ventricle (DORV), ventricular septal defect (VSD), and pulmonary atresia (PA). I scheduled immediate surgery because the persistent ductus arteriosus (PDA) – a small artery that provides blood flow to the lungs was closing and the baby’s oxygen saturation was falling below 50%. The 2kg baby underwent shunt surgery, a procedure that saved his life. I am happy to say the baby was discharged within 10 days of admission. She is fine now. »

Dr Pandita said after the procedure the baby was transferred to the neonatal intensive care unit (NICU). “At follow-up, it was recorded that the baby was gaining weight and doing well. Neonatal cardiac surgeries are complex and require Level 3B NICU care, in addition to the coordinated efforts of Cardiothoracic and Vascular Surgery and Pediatric Cardiology teams.

Dr. Roli Srivastava spoke about the condition the infant suffered from: “Sometimes there are heart problems in newborn babies in which the arteries supplying oxygen to the lungs do not form, so the baby misses oxygen shortly after birth. There is a small artery called PDA which supplies blood to the lungs during the first days of life. But this PDA closes soon after birth in babies with complex heart conditions. A shunt must therefore be created between the system and the pulmonary circulation to maintain pulmonary flow. The operation was successfully performed on the baby.