Udaipur, Chittor resident Kailash Gayari (Age 2 years) was successfully operated for cardiac implant closure through hybrid surgery and percutaneous device. The cardiac team of Geetanjali Hospital included surgeons, cardiologists and anesthetists, namely Cardio Thoracic & Vascular Surgeon Dr. Sanjay Gandhi & Dr. Surendra Patel, Cardiologists Dr. C.P. Purohit, Dr. Harish Sanadhya & Dr. Ramesh Patel, Cardiac Anesthetists Dr. Ankur Gandhi, Dr. Kalpesh Mistry, Dr. Manmohan Jindal & Dr. Dharamchand Jain. He survived fighting all odds to be the first successful case of hybrid surgery in Rajasthan.
Dr. Ramesh Patel told us that the baby was having congenital heart disease, due to which the baby was getting sick frequently, and was prone to lower growth. Consultation & echo-cardiography investigation confirmed about the cardiac implant closure which was tried to close it by percutaneous procedure; (A percutaneous procedure is any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). But, due to anatomical complications of heart the patient was referred to the surgeon team for their intervention.
Dr. Sanjay Gandhi, cardiac surgeon, said that, “There were two treatment options available for the child to get treated; one was hybrid surgery and another open heart surgery. But, on discussions with our cardiologist’s first option was opted to treat the child through hybrid technology. A hybrid procedure is a treatment of the patient discussed in a heart team and is a combined approach by the interventional cardiologist and the cardiac surgeon. The goal is to make the overall treatment of the patient more feasible and to reduce the risk.” As a result, the successful surgery lasted three hours.
Dr. Gandhi also told that the procedure was complex as the hole in the upper surface of heart could lead to bursting of heart thereby resulting in death of the patient for which the heart-lung machine was ready. Incisions were made to provide access to the babys heart or a major blood vessel, like their aorta. Then they worked together to put in a device to close a hole in the heart and placed a stent to improve flow through a blood vessel. To delay more complex surgery until the baby is older, when their health is more stable and the risks of the surgery may be lower, the treatment was chose. A joint effort of Geetanjali’s Cardiac Team & technology establishing a new milestone in medical history to save life of a two-years old child. The baby was operated for free under Rajasthan Government’s Rashtriya Bal Swasthya Karyakram (RBSK).