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September 2023

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Tiny Heart, Giant Victory: KLE Doctors Perform Complex Heart Surgery on Newborn

KLE doctors with baby and mother at the hospital
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Belagavi: In a remarkable medical achievement, a 16-day-old male baby was successfully treated for a rare heart condition at KLE’s Dr. Prabhakar Kore Hospital.

The baby, weighing less than 2.5 kg, was referred from a private hospital with concerning symptoms, including bluish skin, lips, and nails, indicating a severe lack of oxygen-rich blood. The infant was also experiencing difficulty accepting feeds, had a rapid heart rate, weak pulse, and was restless.

Diagnosis and Rare Heart Condition

Dr. Danish Memon, a Pediatric Cardiologist, quickly diagnosed the baby with a rare congenital heart defect known as Dextro-Transposition of the Great Arteries (d-TGA). This condition is seldom detected during prenatal stages. In a normal heart, the aorta arises from the left ventricle, and the pulmonary artery arises from the right ventricle. However, in d-TGA, these great arteries have incorrect connections, with the aorta originating from the right ventricle, leading to the circulation of deoxygenated blood to the body. Meanwhile, the pulmonary artery arises from the left ventricle, causing oxygenated blood to return to the lungs.

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Critical Surgery: Arterial Switch Operation (ASO)

The only sustainable solution for this condition is surgical repair, specifically the Arterial Switch Operation (ASO), a complex neonatal cardiac procedure typically performed within the first three weeks of life. This intricate surgery involves restoring the great arteries to their normal connections, making it one of the most challenging operations in neonatal cardiac surgery.

Successful Surgery and Expert Team

Dr. Gananjay Salve, a Pediatric Cardiac Surgeon trained in multiple prestigious institutions, including Bangalore, Mumbai, and Sydney, Australia, led the critical 8-hour surgery. The infant showed remarkable resilience during the procedure, thanks to the exceptional anesthesia support provided by Dr. Anand Vagrali and Dr. Sharangouda Patil. Post-surgery, the baby required ventilator support and received expert care from Pediatric Intensivist Dr. Nidhi Goel Manvi. The case was closely monitored by a team of experienced Pediatric Cardiologists, including Dr. Veeresh Manvi and Dr. Danish Memon.

The baby’s jubilant parents expressed their gratitude to Dr. Gananjay Salve and the entire nursing staff for the successful outcome of the surgery. The baby was discharged just 10 days after the surgery. Dr. Gananjay Salve emphasized that without timely intervention, infants with this congenital heart defect often face dire consequences. KLES Hospital has established world-class medical facilities to handle complex cases involving newborns, as acknowledged by Dr. Richard Saldanha, Chief of Cardiac Surgery, and Dr. Mohan Gan, HOD of the CVTS department.

Dr. Prabhakar Kore, Chairman of KLE Society, and Dr. (Col) Dayanand, Medical Director of the hospital, congratulated the entire medical team for their outstanding teamwork and for providing a new lease of life to the newborn.

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