Critical Heart Surgery of a 13-year-old Boy

Pediatric cardiac surgery is one of the most challenging, technically demanding and satisfying branch of advanced medicine. Sameer, a thirteen-year-old boy was struggling with his heart defect since birth. He had a complex diagnosis of Dextrocardia (heart on the right) with tricuspid atresia, apico-caval juxtaposition, pulmonary stenosis and severe mitral regurgitation. In common terms, he had complex birth heart defects which involved non-development of half of his heart and obstruction of blood going to the lungs. This caused him to be blue and very easily tired. He underwent his first surgical procedure called bidirectional Glenn shunt in 2012. Although he was advised his final corrective surgery in a couple of years, financial constraints of the family compelled his final surgery to be delayed by six years. As a consequence, one of his heart valves started leaking.

The challenge of his final surgical correction was threefold. First, it was a redo surgery and hence higher risk of injuring vital organs at the time of entering the chest. Second, the abnormal position of the heart posed serious technical challenges. Third, his leaking valve had to be repaired for it to be possible for him to live.

He underwent his final operation called Fontan operation and a repair of his mitral valve successfully. We are privileged to be a part of his recovery. He is back to running around and not blue anymore. Another miracle of modern medicine witnessed and appreciated.

 
By,

Dr. Alok Mathur
Director, Cardio-thoracic and Vascular surgery
RBH Department of Cardiac Sciences

 

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