Rajasthan State’s First Successful Operation
Udaipur : Geetanjali Medical College & Hospital a Super-Specialty Tertiary Care’s Cardiac Centre showcased a successful case of Rajasthan’s first of kind “Intra Cardiac Repair of Tetralogy of Fallot with RVOT Stenting” on 15 months old & weighing only 5 kilograms boy. The team of successful surgery involves Cardiac Thoracic Vascular Surgeon Dr. Sanjay Gandhi along with Cardiac Anesthetist Dr. Ankur Gandhi, Dr. Manmohan Jindal, Dr. Kalpesh Mistry, Dr. Ashish Patiyal, Cardiologist Dr. Kapil Bhargava, Dr. Ramesh Patel, Dr. Danny Kumar, Dr. Shalabh Agarwal, OT & ICU Staff who co-ordinate well in the complete corrective surgery as well as RVOT Stenting.
Born as a third child to an Udaipur resident, Deepak Khateek was suffering from blue-tinged skin & cyanotic spells since birth. He soon started losing his conscious state after crying lot. He was admitted in Geetanjali Hospital in emergency to where on investigations of Echo-Cardiography & Cath Angiography, it was confirmed as congenital heart disease named Tetralogy of Fallot. It is a rare condition caused by a combination of four heart defects that are present at birth (congenital).These defects, which affect the structure of the heart, cause oxygen-poor blood to flow out of the heart and to the rest of the body. Infants and children with tetralogy of Fallot usually have blue-tinged skin because their blood doesn’t carry enough oxygen. The treatment prescribed for the same is surgery but as the baby was too small and underweight it was decided to opt for a solution in reference to which RVOT Stenting was done to make the baby survive for surgery. Cardiologist Dr. Ramesh Patel identified this child with an abnormal function of heart and adopted RVOT Stenting, stenting of the right ventricular outflow tract (RVOT) in the initial palliation of symptomatic patients with severely limited pulmonary blood flow.
“This is a case first time happening in Rajasthan since there is a history of only 100 RVOT Stents on record in medical journals world over of such operations.” said Dr. Ramesh Patel. The boy soon started gaining weight & was out of danger. But this was not a complete treatment. He was then referred to Cardiac Surgery team where a successful Intra Cardiac Repair Surgery was performed. The surgery lasted 5 to 6 hours.
“The stent implanted by the cardiologists was to be removed prior to closure of hole in heart and obstruction in right ventricular flow. As the stent was of metal, so when the body grows the stent doesn’t. So firstly & most importantly the stent was removed very cautiously as it may lead to anytime heart failure. Then the hole was closed with white medical patched & the obstruction was opened. This contributed to a complete corrective surgery commonly known as Intra Cardiac Repair Surgery. The young boy was kept on heart-lung machine & all the small instruments required in a neonate surgery were all available at Geetanjali Cardiac Centre,” said the treating cardiac surgeon, Dr. Sanjay Gandhi.
“Such patients require immediate medical intervention as they are at very high risk. This disease has a ratio of every 1 out of every two thousand patients. A boy 15 months old usually weigh around 10-12 kilograms but this boy was weighing only 5 grams which was a big challenge for the team to operate & make the boy survive. He will now lead a normal life but will be kept on a regular follow up for betterment,” Dr. Gandhi.
In the press conference organized by Geetanjali Medical College & Hospital, the Executive Director of Geetanjali Group, Mr. Ankit Agarwal, congratulated the whole team on a successful surgery performed and establishing a new milestone in medical history of Rajasthan. He also further added to include new educational & technical courses to overcome the upcoming future challenges in medical history. He also said that there will be coming many new & many more articles to be shared giving Geetanjali a PAN India recognition. This success is also dedicated to a well coordinated management & staff at GMCH making the things happen successfully.
Geetanjali Medical College & Hospital’s CEO Mr. Prateem Tamboli said that “The only interest we understand at Geetanjali Hospital is of Patient Interest. We are committed to provide a quality health care to all our patients and are creating innovations. We have also moved from Tertiary Level Care to Quarternary Level Care, a step ahead, to be the trend setter not only in Udaipur, but to all our surrounding territories. Success & innovation comes when a team equally works for a common objective as in this case where in this case also the common objective made the child lived.