Extremely complicated Rastelli procedure saves the life of a baby boy at Kolkata

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Dr.Manoj Daga
Dr.Manoj Daga
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Extremely complicated Rastelli procedure saves the life of a baby boy

Congenital defects of the heart in children are very common in contemporary times. Heart defects can be minor or major in children. While some can be cured with one single surgery, others require series of procedures for complete recovery. Recently, a five years old child who had a serious condition of cyanosis and a history of congenital defects was admitted to CK Birla Hospitals – BM Birla Heart Research Centre. He was admitted under the care of Dr. Manoj Daga – Senior Consultant Cardiac Surgery – BM Birla Heart Research Centre. Dr. Daga describes the little boy becoming blue due to his cyanotic heart defect. This condition is commonly known as Blue baby syndrome. The baby didn’t have well-formed pulmonary artery whose primary function is to supply blood to the lungs. Also, in his case the pipe entered the right ventricle blindly and there was no artery supplying blood to the lungs.

Undoubtedly the child had a very critical heart defect whose only solution was to get operated. He already had an operation when he was 6 months old, wherein one small pipe connecting the heart and the lungs were attached so that flow of oxygen improved and blood flowed seamlessly into the heart. However, with time the child had overgrown that pipe which was again blocking the flow of blood. This time his pulmonary artery had become very narrow. This child required creation of a new pipe wherein a passage and growth would take place between right and the left pulmonary artery. Hence, a new pipe conduit was joined from the bifurcation. With this procedure the right and left pulmonary junction which had the blind right ventricle with a hole in the heart, had to be closed for complete recovery.

Dr. Daga chose Rastelli Procedure for this operation. Rastelli Procedure is once such surgery where patients with transposition of great arteries, ventricular septal defect, and left ventricular outflow tract obstruction are treated. Before the surgery, common pre-operative tests like electrocardiogram, echocardiogram, chest X-ray and blood testing were done on the child. Dr. Daga and his cardiac team made sure that the child was fit for operation and he had ample chances of complete recovery. Post-operation the patient was shifted to Intensive Therapy Unit in stable hemodynamic condition wherein he was given exhaustive post-operative care. Within two weeks, he went back home with a fresh leash of life. Nevertheless, he will have to re-visit in next 15-20 years for another surgery when his pipe will be upgraded to a bigger one. The pipe which has been put at present is the one which matched up to the requirement as per his age. When he is 20-25 years old, the current pipe must be upgraded once again to a bigger pipe.

In conclusion, Dr. Daga says, “Rastelli procedure in paediatric is a very rigorous and high precision surgery that has been rarely done in eastern India. The child was suffering from congenital blue baby syndrome whose only solution was operation. Despite much complications, we ensured that he goes back home after complete recovery and leads a normal life like anyone else.”

Authored by Dr. Manoj Daga , Senior Consultant Cardiac Surgery – CK Birla Hospitals -BMB

About Post Author

Suman Munshi

Founder Editor of IBG NEWS (15/Mar/2012- 09/Aug/2018). Recipient of Udar Akash Rokeya Shakhawat Hossain Award 2018. National Geographic & Canon Wild Clicks 2011 jury and public poll winner. Studied Post Graduate Advance Dip in Computer Sc., MBA IT,LIMS (USA & Australia), GxP(USA & UK),BA (Sociology) Dip in Journalism (Ireland), Diploma in Vedic Astrology, Numerology, Palmistry, Vastu Shastra & Feng Sui 25 years in the digital & IT industry with Global MNCs' worked & traveled in USA, UK, Europe, Singapore, Australia, Bangladesh & many other countries. Education and Training advance management and R&D Technology from India, USA, UK, Australia. Over 30 Certification from Global leaders in R&D and Education. Computer Science Teacher, IT & LIMS expert with a wide fan following in his community. General Secretary West Bengal State Committee of All Indian Reporter’s Association
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