Mangaluru: A 3 days old baby of Padma (name changed) was referred to A J Hospital & Research Centre, Mangalore with complaints of bluish discolouration of lips and fingertips along with poor feeding and lethargy. She was evaluated by Dr Prem Alva, Interventional Pediatric Cardiologist. The baby had a low oxygen level of 58%. It was also diagnosed to have the heart on the right side of the chest. The blood vessel arising from the heart to the lungs was completely blocked, a condition called pulmonary atresia. The baby also had a large hole in the heart.
She was admitted to the Neonatal ICU and stabilized. A first stage procedure by Pin Hole Surgery was done on the newborn in the Cathlab.
The team was led by Dr Prem Alva, Interventional Pediatric Cardiologist. Through a blood vessel in the leg, a catheter was passed into the baby’s lung blood vessel and PDA stenting was done. Cardiac anaesthesia during the procedure was a critical component and was administered by Dr Gururaj Tantry and Dr Suhas. The stent allowed free flow blood supply to the baby’s lung and the oxygen improved from 58% to 94% after the procedure. The baby was discharged 1 week after the procedure.
Dr Ashvij Shriyan, Consultant Neonatologist, played a vital role in the mechanical ventilation and management of the baby in the NICU.
Anyone wanting further information on the case may contact Dr Prem Alva 9611125844.
