CHENNAI:It was a new lease of life for five-year-old Pushpa Chanisia as surgeons from Chennai rescued her from the jaws of death when her country’s medics wrote her off.The last glimmer of hope came through Chime, a trust formed by MIOT hospital, when the parents Mohammed Billal and Shakila Jaffer brought their daughter to Chennai’s MIOT hospital.Chime took up the entire expenses on them as surgeons of MIOT hospital conducted a successful surgery for a Leaking Thoracic Aortic Aneurysm Bursting into the lung of the five-year old. Interestingly, this was the first time in the world that a surgery was carried out four times to arrest Thoracic Aortic Aneurysm Bursting, surgeons at MIOT Hospitals claimed.Dr V V Bashi, chairman of Centre for Thoracic and Cardio Vascular Care, MIOT Hospitals, said that the five-year-old was referred to them from another hospital with a history of coughing out large quantities of blood and was advised emergency surgery.Interestingly, when she was three years old, Pushpa had undergone open surgery for patent ductus arteriosus, a disease present from birth. It was normal life for her for 18 months after which she started coughing out blood in small quantities, which slowly increased. The parents consulted a local doctor who told them that the blood was leaking from the aorta and she required a surgery which was risky and could not be done in Bangladesh.“The parents brought her to India and admitted her to another hospital where they had put up three stents as an emergency, but the leak could not be arrested. It was then that we stepped in,” said Dr Bashi.“After admitting her, we found her blood group to be AB negative, which was difficult to get during an emergency. To tide over the surgery, we tried another stent intervention and put in two more stents. Because of the technical difficulty caused by complex aneurysm, it was not successful. As we ran out of options, we put her into high risk emergency, which involves high cost and five to six bottles of blood,” he added.“We opened the front of the chest and connected her heart to a heart-lung machine. The blood was then cooled at 18 degree celsius. Since the aneurysm was extending into the left lung, it was very difficult to visualise the aneurysm from the midline. So we had to make another incision on the side of the chest to separate it from the lung,” said Dr Bashi.When the temperature reached 18 degrees, the circulation to the lower part of the body was stopped, but circulation to the brain was continued. "After this, we opened the aneurysm and managed to remove all the stents. We then stitched a synthetic graft to repair the aneurysm and the injury in the lung was also repaired,” the doctor, who headed the surgical team, said.“To our knowledge, this is the first of its kind in a small child who had undergone stenting at such a tender age for aortic aneurysm followed by a complex surgery,” he said.
Comments
0 comment