Recently Two children from Pakistan underwent Complex Surgery for complicated Congenital Heart Disease in Sri Jayadeva Institute of Cardiovascular Sciences and Research successfully.

12 year old Haseeb of Digri in Sindh province, the first child of parents who are teaches by profession was diagnosed to have cardiac disease when he was 3 months old. Wajahat, the child’s father says that his only son was blue from birth and frequently used to have spells of unconsciousness from the age of 3 months. Doctors in Karachi did shunt surgery, a temporary measure at 3 years of age. When Haseeb started becoming blue again since 6 months doctors in Karachi said he has to undergo surgery again. He was also told that it is a high risk surgery carrying a mortality of 75%. Parents who had lost their second child immediately after birth from blue baby syndrome were aspirate to save this only son. Wajahat had seen to the child Mohammed Sufian from the same city who had undergone surgery for the same disease in Jayadeva in October 2010 and decided to get his son operated here. Moreover the doctors in Karachi also advised him to take the child to Bangalore for this definitive surgery.

A team comprising of Dr. Devanand, Dr P S Seetharama Bhat did the corrective surgery on 28th January 2011 and the child has recovered completely and Is ready to fly back to Karachi.

Qunoot Baig 13 years old, 3rd female child of Mirza Afzal Baig, a Medical Representative in Hyderabad, Sindh province in Pakistan wasblue from birth. She was diagnosed to have transposition of great arteries at 6 months of age. In this disease which is a defect in the heart from birth, the vessel which has to come from the right side of the heart comes from the left side and vice versa. Babies suffering from this problem rarely survives beyond 1st birthday. This child underwent a shunt surgery at 15 months of age just to prolong life. Corrective surgery was not possible in Pakistan because of non-availability of technology and expertise. Dr. Gaffor Memon in Sindh Province in Pakistan advised them to take the baby to India for Surgery.

Under a goodwill programme of Rotary International District 3190, Bangalore have decided to help this child for getting operated at Bangalore and those children were brought to our hospital for further treatment.

Child was evaluated in Jayadeva and Dr. Manjunath, Director and Dr. Jayaranganath, Paediatric Cardiologist opined that this baby can undergo Switch Operation which is be a cure for this child. Generally Switch Operations are done within 3 months of life. In this, operation the exchanged arteries of heart are stitched back to normal position, the large hole in heart is closed and a valve repair is done. Dr. Manjunath says probably for the first time in this Country, Arterial Switch operation and Valve Repair was done at this advanced age.

Team comprising of Dr. Devanand and Dr. P S Seetharama Bhat successfully did this operation on 29th January 2011 and Qunoot is ready for discharge.

As a part of goodwill gesture, both these children came to Jayadeva Hospital. Badalchand Chordia Trust / Ranka Steels Pvt. Ltd., Bangalore and Jayadeva Institute has equally shared the cost.

The parents profusely thanked the Director, Operating Team and Government of Karnataka for saving two lives from Pakistan by conducting complex surgeries. They are also very much impressed by the facilities, hospitality and the concern of the hospital staff. They never felt that it is a Government hospital.

DR.C.N.MANJUNATH
DIRECTOR

Two children from Pakistan underwent successful Open Heart Surgery for Complex Congenital Heart Disease at Sri Jayadeva Institute of Cardiovascular Sciences and Research.

12 year old Haseeb (Male) and 13 year old Qunoot Baig (Female) were suffering from Complex Congenital Heart Disease and there was bluish discolourization of the body due to mixing of impure blood with the pure blood. The Doctors in Karachi who evaluated these children said that it is a very difficult surgery and carries a high risk.

The Doctors in Karachi said that it cannot be done because of lack of technology and expertise in Karachi and advised to approach Jayadeva Hospital, Bangalore, India as one of their known child was operated at Jayadeva Hospital successfully in the last year.

13 years old female child Ms. Qunoot Baig who was suffering from a cardiac disease called “Transposition of Great Arteries”. In this disease, two great arteries, Aorta and Pulmonary arteries arise from opposite cardiac chambers (ventricles). The initial temporary operation was done in Karachi which gave relief only for 6 months.

According to Director, Dr. C N Manjunath, the symptoms of this disease is bluish discolourisation of body, nail bed, failure to gain weight and sometimes loss of consciousness. 90% of the children do not survive beyond one year. Open Heart Surgery has to be done within first 60 days of life. Only 10% will grow into adolescent.

Our Cardiothoracic Surgeons Dr. Devanand, Dr. P S Seetharama Bhat, Paediatric Cardiologist Dr. Jayaranganath and team have conducted this Complex Open Heart Surgery on these 2 children. This procedure is called “Arterial Switch Surgery”. Wherein the Aorta and Pulmonary artery were sectioned and connected to appropriate cardiac chambers with reimplantation of coronary arteries and large hole is closed and valve is repaired.

To the best of our knowledge, this is for the first time this Arterial Switch Operation and Valve repair was done beyond 10 years of age. The

approximate cost of each surgery is Rs. 90,000/- and 50% of the cost is contributed by Badalchand Chordia Trust and Ranka Steel Pvt. Ltd., and rest of the funds were borne by the Institute.

Under goodwill programme of Rotary Bangalore & Rotary International District 3190 decided to help this child for getting operated at Bangalore and those children were brought to our hospital for further treatment. They actively co-ordinated with Pakistan Rotary providing all information.

The parents profusely thanked the Institution and Operating Team for saving two lives from Pakistan by conducting this high risk complex surgeries. They are also very much impressed by the facilities, hospitality and the concern of the hospital staff. They never felt that it is a Government hospital.

DR.C.N.MANJUNATH