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Nov 30th 2021
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Home Lifestyle Wellness Indian hospital performs world's first cardiac multi-surgery

Indian hospital performs world's first cardiac multi-surgery

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MIOT Hospitals performs successful surgery on a 14-year-old boy in Chennai who was suffering from several heart related disorders.


A 14-year-old boy from Mumbai who was diagnosed with Noonan's syndrome was admitted at MIOT Hospitals, Chennai on July 14, 2012. Noonan's syndrome is a rare disorder considered to be a type of dwarfism. The features include narrowing of heart valve, hole in the heart, depressed breast bone (pectus excavatum), webbed neck and a flat nasal bridge. It occurs 1 in 1000 child births.

Normally, open heart surgery is performed by cutting the breast bone because the heart is pushed behind. Done this way, the operation is easy to perform. But in case of this young boy, since the heart was totally on the left side of the chest, it was impossible to do this operation through the midline. The team of cardio thoracic surgeons at MIOT Hospitals searched extensively in the literature to find out which is the best way of doing this operation, but could not find a single case report of this combination of disease.

The young boy underwent open heart surgery on July 16, 2012. MIOT Hospitals performed this operation by opening the left side of the chest. To see the heart and do the operation with a chest wall abnormality through left side of the chest was extremely very difficult. The patient was connected to a heart lung machine by making holes in the groin arteries.  After this, he was cooled and the heart was stopped and  the replacement of the aortic valve and aortic root (Bentall's operation) with re-implantation of the coronary arteries was done. After that, the hole in the heart was closed.

Post-surgery, the young boy was given special nursing care for improving his lung function because the heart was occupying the whole left side of the chest pressing the left lung. He made an uneventful recovery and will be discharged on August 01, 2012.

"To our knowledge doing a Bentall's operation and closing the hole (ASD) by opening the left side of the chest in this type of congenital abnormality in a child has not been reported in the world before," said Dr. V.V. Bashi, Chairman, Centre for Thoracic and Cardio Vascular Care, MIOT Hospitals.


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