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The infant, who weighed 3.8 kg, had a hole between the lower chambers of her heart and a blood vessel that had remained open after birth. The child, who was born late preterm weighing 2.2 kg and had earlier required neonatal intensive care for breathing difficulties, was taken off ventilator support on the 10th postoperative day. As a result, parts of the liver, gallbladder and colon had shifted into the chest cavity, displacing the heart and surrounding structures. All three corrective procedures were therefore carried out during a six- to seven-hour operation.
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The cardiac abnormalities were compounded by diaphragm eventration, a condition in which the right side of the diaphragm is abnormally elevated and weak, according to doctors. Doctors said the anatomical abnormalities made it unsafe to perform heart surgery without first addressing the diaphragm and chest-wall defects. “Review of literature showed that such a rare combination had never been addressed before,” said Dr Kulbhushan Singh Dagar, neonatal and congenital heart surgeon at Max Super Speciality Hospital, Saket. Dr Sunil Choudhary, chief of plastic surgery, said the procedure required close coordination among cardiac, thoracic and plastic surgery teams. She was later discharged in stable condition and will remain under long-term cardiac, paediatric, nutritional and neurological follow-up, said doctors.
New Delhi: A seven-month-old girl from Myanmar underwent a complex surgery at a Delhi hospital to correct three congenital abnormalities involving her heart, diaphragm and chest wall, in what doctors described as a rare combination of conditions requiring a multidisciplinary approach. She also suffered from high pressure in the blood vessels supplying her lungs. The child also had pectus excavatum, a chest-wall deformity in which the breastbone is pushed inward, reducing space for the heart and lungs. The surgery involved closing the heart defect, ligating the persistent blood vessel, repairing the diaphragm and reconstructing the chest wall. Download the TOI App.