KIMS Cuddles saves three-day-old boy rushed from Nanded in emergency situation
Hyderabad, Dec 29, 2022: For a couple from Nanded moving their three-day old baby boy, who developed respiratory problems and had heart defects within hours after his birth in a Nanded hospital, to KIMS Cuddles, Kondapur, proved to be a timely saviour as the boy was given a fresh lease of life after a marathon 12-hour surgery by a team of multi-specialists at KIMS Cuddles.
The boy also had low oxygen saturation complications. A full-term (39 weeks) boy was delivered by Elective LSCS at Nanded and all antenatal scans were normal. However, around 12 hours later, the baby’s parents noticed respiratory distress. He was rushed to a NICU with respiratory distress and bluish discoloration of skin (cyanosis).
Given the sensitivity of the condition, a NICU team of doctors, led by Dr. C. Aparna, Chief neonatologist and Head, Department of Neonatology, KIMS Cuddles, transferred the baby on non-invasive ventilation on the third day of life to KIMS Cuddles’ neonatal unit in Kondapur.
After paediatric cardiologist Dr Sudeep Verma diagnosed that the baby had large TGA (Transposition of great arteries), the baby was intubated and connected to mechanical ventilation support.
After a 12-hour surgical procedure, called ‘arterial switch’ the transposed arteries were duly placed to the right and left chambers of the heart and the large VSD (hole) was also closed. A further complication noticed during the complex surgery undertaken by KIMS Hospitals’ Dr Anil Dharmapuram, senior cardiac surgeon, KIMS Hospitals and Dr Nagarajan, paediatric cardiac anaesthetist, was the presence of a single coronary artery.
“The increased risk of arterial switch operation with VSD is due to the technically demanding surgical skill involved in repair of the VSD in a new-born baby. Ventricular muscle in such a situation will be very delicate as there is the likelihood of damaging the myocardium and causing fatal ventricular dysfunction. It is for this reason that such a delicate and complicated surgery is usually planned on three to four weeks old babies. Everything went well in the surgery and helped restore the baby’s life. Moreover, because of the heavy risk that is involved, very few units in the country can claim a successful outcome after such a mammoth surgery,” said Dr. Anil Kumar Dharmapuram, senior cardiac surgeon, KIMS Hospitals.
Dr. C. Aparna, Chief neonatologist and Head, Department of Neonatology, KIMS Cuddles said “The complexity of the case was the presence of a single coronary artery. In TGA surgery, switching coronary arteries is considered the most crucial step. This step was further complicated in this baby by the presence of a single point of origin of the three major coronary vessels. It is so rare that it occurs only in around seven per cent of TGA cases. As against the normal procedure to operate such cases after the baby is at least four weeks old, in this case we had to operate very early, a mere six days from birth as the baby was on ventilator support due to cardiac failure.”
The baby was given intensive postoperative intensive care that included ventilator support, peritoneal dialysis, blood transfusions, antibiotics, blood thinners and anti-cardiac failure agents by a NICU team that included Dr Aravinda Lochani and Dr Pranitha Reddy.
The fully recovered baby was eventually discharged and sent to Nanded.