In a major breakthrough in the treatment for children with heart problems, critical cardiac surgery of a five-month-old infant having large patent ductus arteriosus (PDA) with severe pulmonary hypertension and congenital heart disease has successfully been done at Evercare Hospital Dhaka.
A team of physicians of the private hospital has performed the operation, which is extremely difficult to manage all over the world. This was revealed at a press conference organised by the hospital at its auditorium in the capital on Thursday.Dr Tahera Nazrin, consultant and coordinator of Clinical and Interventional Paediatric Cardiology of Evercare Hospital Dhaka, presented the written statement at the press meet.
Dr Sabina Sultana and Dr Sohail Ahmed along with other hospital personnel involved in the surgery discussed the details of the operation and other relevant experiences while hospital CEO Dr Ratnadeep Chaskar, CMO Vinay Kaul and Coordinator and Senior Consultant, Cardiac Anesthesia and CT ICU, Dr Niaz Ahmed were also present at the event.
According to the statement, five-month-old infant Safwan was admitted to the hospital under the supervision of Dr Tahera Nazrin on April 25. Safwan was diagnosed as a case of large patent ductus arteriosus (PDA) with severe pulmonary hypertension, pneumonia, heart failure, acute gastroenteritis and electrolytes imbalance with low weight.
Usually, PDA is closed with device in nonsurgical procedure by Dr Tahera Nazrin in Evercare Hospital Dhaka. But, Safwan’s PDA was not suitable for device closure because of its big size (10mm) and unusual shape. The baby had severe pulmonary (lung) hypertension because of which he had emergency complications (eg: acute pulmonary hypertensive crisis).
The hospital said during the hospital stay, the baby had two attacks of cardio respiratory failure, seizures and he was in ventilation support.
The medical board of Paediatric Cardiologist Dr Tahera Nazrin, Cardiac Surgeon Dr Sohail Ahmed and Senior Paediatrician Dr Sabina Sultana decided urgent surgical closure of PDA. After optimising the acute pulmonary hypertensive crisis and heart failure in ICU, the baby was operated by Dr Sohail Ahmed on May 5.The child was also required to be managed in CT-ICU during the challenging post-operative period to prevent further pulmonary hypertensive crisis and other complications.
Besides, doctors, nurses and staff worked together and the team managed to help the infant recover.
Dr Tahera Nazrin said, “Pulmonary hypertensive crisis with congenital heart disease is one such detrimental emergency complication that is extremely difficult to manage all over the world. The baby would have needed treatments and procedures like iNO which are not available in our country. Fortunately, we managed to help the baby recover with the aid and dedication of our knowledgeable and dedicated team and support of our hospital management.”
Dr Sabina Sultana said, “This type of critical patient is prone to develop renal failure, dyselectrolytemia, and fluid management was critical for him which needs overall supervision by a paediatrician and critical care team.”
“Normally, the heart’s left side pumps oxygenated blood to the body, and the right-side pumps carbon dioxide mixed blood to the lungs. In a child with PDA, extra blood gets pumped from heart’s great artery into the lung’s arteries. If the PDA is large, the extra blood being pumped into the lung arteries makes the heart and lungs work harder and the lungs can become congested and hypertensive,” Dr Sohail Ahmed said.
Dr Ratnadip Chaskar said, “Good work is happening in Evercare Hospital Dhaka and other Bangladeshi hospitals. Patients don’t have to travel abroad anymore. It’s all about all experts coming together and saving lives. We hope to serve the community in a better way. Our dream is that no Bangladeshi national will ever have to go abroad for lack of facility. We should come to a point to offer all healthcare facilities within the country.”