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Hybrid Procedure for VSD Closure on Four-Month-Old Baby

A team of docs at Sahyadri Hospitals perform the hybrid procedure for VSD closure on the four-month-old baby.
- One of the smallest baby hybrid interventions in Maharashtra.
- The hospital helps arrange funds for the treatment.
Pune July 21: A team of doctors at Sahyadri Super Speciality Hospital , Deccan recently conducted a hybrid procedure on a four month old 4.2 Kg baby for VSD closure.
This is one of the smallest baby hybrid interventions in Maharashtra and a complicated one with a 12mm muscular VSD device being deployed / implanted across the defect for the closure.
( A ventricular septal defect (VSD), a hole in the heart, is a common heart defect that’s present at birth (congenital). The hole (defect) occurs in the wall (septum) that separates the heart’s lower chambers (ventricles) and, as a result, allows blood to pass from the left to the right side of the heart. Thus, the oxygen-rich and oxygen-poor blood mix with each other and cause significant issues for the baby.
Explaining the case, Cardiac surgeon at Sahyadri Hospitals, Dr Rajesh Kaushish and interventional Paediatric cardiologist Dr Pankaj Sugaonkar said that a four-month-15 baby who was diagnosed with a large 10 mm Midmuscular VSD on day 10 of life was brought to us by his parents with complaints of recurrent cough and cold. The baby was 4.2 kg and was not gaining weight. Initially, the boy was undergoing medication but without any effect or sign of improvement.
Interventional pediatric cardiologist Dr. Pankaj Sugaonkar said that VSD closure was necessary and we opted for a hybrid approach.The hybrid approach is a fairly recent technique/ modality where cardiac surgeons and interventionalists collaborate thereby facilitating vascular access , avoiding pulmonary bypass and its complications.
Cardiac Surgeon Dr Kaushish performed a sternotomy. After that, a puncture was taken at the centre body of the Right ventricle. The rest of the procedure, which included a complicated procedure of implanting the device, was done by a team led by interventional pediatric cardiologist Dr Pankaj Sugaonkar. To close the 10mm muscular VSD, a 12 mm muscular VSD device was deployed under epicardial echo guidance, which was one of the major challenges in the procedure. The other important aspect of the procedure was that we did not use the regular heart-lung machine and did the procedure on a beating heart. This small baby was extubated ( ventilation removed ) within three hours and kept in the ICU for two days under observation, said Dr Sugaonkar.
Regular percutaneous VSD device was not possible because larger size of sheath required to close such defects which was not possible in small baby.
The team consisted of Interventional Pediatric Cardiologist Dr. Pankaj Sugaonkar, Cardiac surgeon Dr Rajesh Kaushish, cardiac anaesthetists Dr. Shantanu Shastri, Dr Suhas Sonawane and Dr Priti Adate, Paediatrician Dr Prashant Khandgave, nurses and sisters in the OT and post-operative team.
Since the family was not in a position to pay for the surgery and treatment, a team at Sahyadri Hospital Deccan Unit led by social worker Shilpa Mahajan helped arrange for funds.
FAQs
- What is a VSD?
VSD (Ventricular Septal Defect) is a hole in the heart’s wall separating the ventricles. - What is a hybrid procedure for VSD closure?
It combines surgical and catheter techniques to repair the defect with minimal invasiveness. - Why is a hybrid procedure ideal for infants?
It reduces the risks associated with open-heart surgery and shortens recovery time. - How successful is VSD closure in infants?
With advanced techniques, success rates are high, ensuring better long-term outcomes. - What post-procedure care is required?
Follow-up appointments, medications, and monitoring for complications are essential.
Have queries or concern ?
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