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Tricky surgery at Wadia saves newborn with blocked valve

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 DTMT NETWORK

Doctors at Wadia Hospital in Mumbai have saved a newborn baby boy with obstructed aortic valve by performing a high-risk balloon aortic valvotomy procedure. This minimally-invasive surgery is done with cardiac catheterization using a catheter with a deflated balloon in the tip.


The baby from Ahmednagar was born with blocked valve, 15% heart pumping rate, breathing problem, and murmuring of heart. According to Wadia hospital, the baby showed immediate significant improvement in the heart pumping capacity after the opening of the valve. He is off the ventilator now and recovering well.

The treating doctor said, “The baby came in an emergency and his health worsened. The cardiac team, including the Paediatric Cardiac Anesthetist, Interventional Cardiologist, nursing, and the technical team took precautions by wearing 4 layers of covering (including lead aprons and PPE kit) in view of the baby’s unknown Covid status.”

“Bedside echocardiography was performed which confirmed severely obstructed aortic valve and heart pump failure. The baby was immediately admitted to the Isolation Unit and put on a ventilator in view of severe breathing difficulty,” he added.

In view of the overall sick condition of the baby, it was decided to perform emergency surgery for opening the heart valve. Delaying the surgery could have cost his life. Hence, he was shifted to the cardiac catheterization laboratory for the procedure after initial stabilization.

The doctor further said, “The baby underwent balloon aortic valvotomy or balloon aortic valvuloplasty, which is a minimally-invasive surgery done with cardiac catheterization using a catheter with a deflated balloon in the tip. The catheter is inserted into a blood vessel. It is moved to the narrowed valve, and the balloon is inflated to open the heart valve.”

“The challenging procedure lasted for 2 hours, and his echocardiography showed immediate significant improvement in the heart pumping capacity after the opening of the valve. The baby was shifted back to the Isolation Unit for further management,” he explained.
DTMT NETWORK

Doctors at Wadia Hospital in Mumbai have saved a newborn baby boy with obstructed aortic valve by performing a high-risk balloon aortic valvotomy procedure. This minimally-invasive surgery is done with cardiac catheterization using a catheter with a deflated balloon in the tip.

The baby from Ahmednagar was born with blocked valve, 15% heart pumping rate, breathing problem, and murmuring of heart. According to Wadia hospital, the baby showed immediate significant improvement in the heart pumping capacity after the opening of the valve. He is off the ventilator now and recovering well.

The treating doctor said, “The baby came in an emergency and his health worsened. The cardiac team, including the Paediatric Cardiac Anesthetist, Interventional Cardiologist, nursing, and the technical team took precautions by wearing 4 layers of covering (including lead aprons and PPE kit) in view of the baby’s unknown Covid status.”

“Bedside echocardiography was performed which confirmed severely obstructed aortic valve and heart pump failure. The baby was immediately admitted to the Isolation Unit and put on a ventilator in view of severe breathing difficulty,” he added.

In view of the overall sick condition of the baby, it was decided to perform emergency surgery for opening the heart valve. Delaying the surgery could have cost his life. Hence, he was shifted to the cardiac catheterization laboratory for the procedure after initial stabilization.

The doctor further said, “The baby underwent balloon aortic valvotomy or balloon aortic valvuloplasty, which is a minimally-invasive surgery done with cardiac catheterization using a catheter with a deflated balloon in the tip. The catheter is inserted into a blood vessel. It is moved to the narrowed valve, and the balloon is inflated to open the heart valve.”

“The challenging procedure lasted for 2 hours, and his echocardiography showed immediate significant improvement in the heart pumping capacity after the opening of the valve. The baby was shifted back to the Isolation Unit for further management,” he explained.


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