Outstanding Result

Three patients underwent successful ASD device closure angiographically without heart surgery. Patients were from Iraq, Myanmar and Delhi.

Four years old child from Delhi underwent successful VSD device closure with no complications.

Both Delhi Kids underwent ASD surgical closure by open heart surgery.

PDA device closure done angiographically without surgery (Child is from Sonipat, Haryana and from Ghaziabad, Uttar Pradesh respectively).

34 months old male child successfully undwerwent “Balloon dilatation” of severely blocked segment of aorta known as “critical coractation of aorta”. Patient came from Bihar, India.

15 months old female child from Dehradun city (uttarakhand) came for PDA device closure

An extremely sick child from Nepal underwent successful TOF surgical repair

An African child underwent successful ASD surgical closure

Two adult patient underwent successful ASD device closure without open heart surgery

1: A five months old child from Africa underwent successful PDA device closure
2: Underwent successful PDA device closure
3: Bengaluru child underwent successful PDA device closure
4: Delhi child underwent successful PDA device closure

• An international child came with history of chortness of breath on exertion.

• Child underwent TOF repair with RV-PA conduit replacement at 1 year of age.

• Now presented with severely stenosed conduit.

• Underwent successful replacement of RV-PA conduit

• Courtesy: Dr Ramji Mehrotra, MS, McH, Cardiac surgeon

• 5 years old girl child was diagnosed as a case of large AP window (2.8 cm) recently.

• Was having recurrent cough & cold in first year of life but not diagnosed as a case of congenital heart disease.

• Child underwent CT angio as well as Cardiac cath angiography before surgery for assessing whether child is still operable or not.

• After assessment, child underwent high risk AP Window Closure Surgery and discharged on 4-5th post-operative day.

• On follow up child is doing well.

• One year old child came with history of recurrent cough & cold since birth.

• Diagnosed as a case of Moderate sized “Patent Ductus Arteriosus (PDA)” with dilated left sided chambers of heart.

• PDA was closed by putting a device across the hole by angiograpgy without open heart surgery in cath lab

• Child was discharged next day and now symptoms free.

Mesmerizing Experience:

• This child came in 2017 at 6 months of age for PDA ligation at BLK-MAX hospital from Zimbabwe. PDA was large in size with severe PAH like situation was there. It was not clear why PDA is having severe PAH (Eisenmenger like?), we evaluated child for sleep apnea in view of Down’s syndrome. Child was suffering from Severe Sleep Apnea (OSA).

• Nasal CPAP was given and at 5-6 years of age, PAH decreased significantly.

• PDA ligation (via surgery) was done and now child is doing extremely good and lung pressures decreased significantly.

• Patient went back to Zimbabwe. 

• 12 years old child came with diagnosis of moderate sized subaortic VSD with no complaints
• VSD was closed by putting a device across the hole by angiograpgy without open heart surgery in cath lab
• Child was discharged next day with no complications

• 6 months old child came with history of poor weight gain since birth.
• Diagnosed as a case of Moderate sized “Patent Ductus Arteriosus (PDA)” with dilated left sided chambers of heart.
• PDA was closed by putting a device across the hole by angiograpgy without open heart surgery in cath lab
• Child was discharged next day and now gaining weight.

• 5 years old male child came with diagnosis of large atrial septal defect (ASD) in the heart.
• He was evaluated and diagnosed as a case of large sized “Atrial Septal defect” with dilated right sided chambers of heart.
• ASD was closed by putting a device across the hole by angiograpgy without open heart surgery in cath lab
• Child was discharged next day and doing well.

Came to us in respiratory failure in 2017 March, diagnosed as a case of severe form of Dilated Cardiomyopathy with heart pumping of 10 percent, Intubated and ventilated, lost hope that child will survive but God was watching team efforts…

Now child got complete normal form of heart function after 4 and half years of continuous treatment and finally discharged from follow up

This is a miracle for our team.

• 11 months old child from “Uttar Pradesh” came with history of poor weight gain since birth.
• Diagnosed as a case of Moderate sized “Patent Ductus Arteriosus (PDA)” with dilated left sided chambers of heart.
• PDA was closed by putting a device across the hole by angiograpgy without open heart surgery in cath lab
  Child was discharged next day and doing well.

• 13 months old female child came with history of poor weight gain since birth.
• Diagnosed as a case of Moderate sized “Patent Ductus Arteriosus (PDA)” with dilated left sided chambers of heart.
• PDA was closed by putting a device across the hole by angiograpgy without open heart surgery in cath lab
• Child was discharged next day and doing well

• 2 days old sick newborn
• Came into shock like state with difficulty in breathing, decreased urine output, poor feeding
• Diagnosed as a case of “Critical Valvular Aortic Stenosis (Valvular AS) with poor heart pumping” due to deformed aortic valve
• Emergency “Balloon Aortic Valvuloplasty (BAV)” done without open heart surgery in cardiac cath lab
• Discharged on 2nd day of procedure in stable state with good pumping of heart as well as well opened narrowed aortic valve.

• 15 days old newborn who was deeply blue and in shock like state and was not maintaining proper oxygen flow in the whole body.
• Diagnosed as a case of complex cyanotic heart diseases (transposition of great vessels, d-TGA with no VSD/PDA and restrictive PFO).
• Emergency Procedure done in the form of “Balloon Atrial Septostomy (BAS)” that opened the narrowed PFO.
• Immediately after procedure, oxygen concentration in blood rose and shock like state disappear in few hours.
• Few days later, baby underwent surgery known as Arterial Switch Operation (ASO).
• Now, Baby is doing well.

• 8 years female child who came with history of shortness of breath for last few days that was rapidly progressive.
• Diagnosed as a case of massive fluid collection around heart (cardiac Temponade or massive pericardial effusion).
• Emergency, pericardiocentesis (pericardial tapping) was done that removed all collected fluids and patient clinically improved and discharged next day
• Diagnosed as a case of Tubercular pericardial effusion (TB pericardial effusion).

• One year old female child came with history of poor weight gain since birth.
• Diagnosed as a case of Moderate sized “Patent Ductus Arteriosus (PDA)” with dilated left sided chambers of heart.
• PDA was closed by putting a device across the hole by angiograpgy without open heart surgery in cath lab
• Child was discharged next day and doing well and gaining weight now.

• Male child who was on follow up since birth
• Diagnosed as a case of “severe form of aortic valve stenosis” due to deformed bicuspid aortic valve (BAV).
• Underwent balloon dilatation of aortic valve (Balloon Aortic Valvuloplasty) at 1.5 months of age.
• Now child is 7-8 months of age and is doing well on follow up

Supraventricular Tachycardia

• 16 days old baby came on ventilator in sick state.
• His heart rate was more than 300/min (normal is less than 160/min).
• Echocardiogram showed very poor heart pumping.
• ECG was done which showed signs of pre-excitation (WPW syndrome).
• Baby was managed with IV medications (adenosine etc) but not responding.
• DC cardioversion was done which was also not responsive.
• Then multiple medicines were tried but all failed
• IV Metoprolol was started for a long duration and now baby responded very well.
• Patient discharged in 5-6 days and on follow-up, he is on medicines and is gaining weight with normal sinus rhythm in ECG.

Dilated Cardiomyopathy with Cardio-respiratory failure

• 6 months old male child came in very sick condition with air hunger and difficulty in breathing.
• He was diagnosed a case of severe left heart failure (Dilated Cardiomyopathy).
• Immediately, child was admitted in PICU and intubated and ventilated.
• Echocardiogram done which showed very poor heart pumping.
• Child was treated with diuretics, inotropes etc.
• His disease course was very fulminant and chances of recovery were very poor as child was not responding to medicines.
• But fortunately, he recovered, and discharged in 2 weeks.
• On follow-up, he gained weight with normal heart pumping (took almost 2 years for recover).

• Tazakistan (Russian) patient underwent successful Fontan operation at BLK hospital for tricuspid atresia (Cyanotic congenital heart disease).
• He came with history of increasing bluishness of lips and fingers (cyanosis).
• He underwent Glenn operation few years back for single ventricle pathway.
• After detailed evaluation, child underwent Pre-Fontan Cath study, and found suitable for Fontan operation.
• Same was done and patient discharged on 5^th day after operation and doing well on follow up.

• 10 year old male child from “CONGO” came with history of frequent leg pains while walking.
• On examination, his lower limb pulses were absent along with systolic murmur all over the chest.
• On evaluation, child was having “severe Coarctation of Aorta” (COA) with unicuspid aortic valve with “Severe Aortic Stenosis” (AS) on echocardiogram. Aortic valve was not in proper position, it was prolapsed.
• Probably there was a Ventricular Septal Defect (VSD) that was closed by prolapse of aortic valve.
• Family was counselled regarding the requirement of immediate ballooning of narrowed blood vessel (aorta, coarctation of aorta segment) leaving aortic valve for surgical palliation.
• Aortic Valve Ballooning was deferred as it was prolapsed and while doing balloon dilatation, it may leak severely and lead to emergency like situation to the child.
• After taking written consent, child was taken to cardiac cath lab for Ballooning of coarctation of aorta.
• He underwent above mentioned procedure successfully with no complications.
• Narrowed segment of Aorta opened well and there were good pulses in both limbs.

• 4 years “Russian” girl child came with history of abnormal heart sound in chest (murmur).
• On evaluation, child was having an abnormal heart sound (pansystolic murmur in left lower chest).
• Echocardiogram showed a moderate sized “Ventricular Septal Defect (VSD)” with dilated LV (dilated cardiac chambers).
• On evaluation, VSD was suitable for closure by angiographic technique (VSD device closure).
• She underwent VSD device closure and discharged on next day with normal ECG.
• She was kept on oral aspirin tablet for six months.
• As per her translator, she is doing well in her home country.

• 6 years girl child came with history of abnormal heart sound in chest.
• On evaluation, child was having an abnormal heart sound (wide and fixed spilt second heart sound).
• Echocardiogram showed a large Atrial Septal Defect (OS-ASD) with dilated RA/RV (dilated cardiac chambers).
• ASD was suitable for closure by angiographic technique (ASD device closure).
• She underwent device closure and discharged on next day.
• She was kept on oral aspirin tablet for six months.
• Now, after more than twelve months, she is gaining weight and doing well on follow-up.