VISAKHAPATNAM: Cardiac surgery was performed on a 15 days old baby boy at a corporate hospital here, correcting a disease called “transposition of great arteries”, through the process of arterial switch operation.
This was for the first time that such a surgery was performed in the coastal districts of Andhra Pradesh, while one or two centres in Hyderabad performed the same, chief cardio-thoracic surgeon of Apollo Hospitals here P.V. Naresh Kumar informed at a press conference here on Saturday.
The baby boy, Jakku Babu, son of Krishna, an autorickshaw driver of Nedagallu village in Seethanagaram mandal of Vizianagaram district was a “blue baby” when he was brought to the hospital.
Explaining about the problem and the surgery performed, Dr. Naresh Kumar said that the connections of the aorta from left ventricle of the heart supplying oxygenated blood to the whole body and the pulmonary artery taking blood with less oxygen from the right ventricle to the lungs to get it oxygenated, got interchanged leading to only blood not being oxygenated supplied to the body.
The arterial switch was performed by disconnecting both the arteries from their interchanged position and connecting them to the proper chambers of the heart.
Coronary arteries were also reconnected to the aorta. In this case the baby has a major associated defect of having only single coronary artery, needing additional effort during surgery, he said.
“The baby just weighed two to three kg and its coronary arteries are just one to two millimetres thick which needed very meticulous surgery” said Dr. Naresh Kumar describing how complicated the surgery was.
The condition in which the baby was, required a corrective surgery within 15 days or three weeks of birth and the heart, he said.
The post-operative care was equally important in such babies as the dosage of medicines and nutrients must be precise.
“Even a few millilitres in excess or less would lead to a lot of problems”, said chief anaesthesiologist V. Ramesh Kumar, who has supervised the care of the baby.
Arogyasri
The surgery was performed under the Arogyasri health insurance programme.
It would cost from Rs. 2 lakhs to Rs. 3 lakhs, said the doctors.
Others who participated in the five-hour surgery were paediatrician R. Atchumnaidu, consultant cardiologist D.M.R. Jagannadha Rao, cardio-thoracic surgeon Prabhakar Reddy, cardiac anaesthetist Ram Mohan, interventionist B.M.S. Patrudu, anaesthetist Kanna and perfusionists Eswar and Nooruddin.
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