Apollo Children’s Hospital successfully performed for the first time in India a high-risk combined cardiac and tracheal surgery on a 11 month old Omani patient.
The infant is said to be the first patient to receive a surgery of this kind in India.
Yaseen Essa Salim Saleem al Ruqaishi, a Down’s syndrome patient who celebrates his first birthday this March, was diagnosed with not just congenital heart problems but also with life threatening narrowing of airway passages.
These conditions caused repeated respiratory infections and increased risk of cardiac arrest for Yaseen. Oman doctors, realising the need for a multi-disciplinary approach along with effective pre and post-operative care, referred Yaseen to Apollo Children’s Hospital in Chennai.
The Omani infant with large VSD (Ventricular Septal Defect) and PDA (Patent Ductus Arteriosus) was kept on ventilator for two months with congenital tracheal stenosis.
The team at Apollo Children’s Hospital coordinated the transfer of the patient from Oman and took care of the preoperative procedures.
Upon arrival, it was found that the infant could only accommodate a size 3 ET (Endotracheal Tube) with continuous ET bleed, which led to cardiac arrest and was later revived by the intensive care team.
The combined cardiac and thoracic surgery lasted for six hours, with cardiac, thoracic, anaesthesia and critical care teams working hand to hand to cure Yaseen’s heart defect and rectify his narrow airway passage in a short span of time, without risking the child’s life.
Talking on the risk involved in performing the procedure, Dr Rajan Santosham, thoracic surgeon, said, “It was a very challenging procedure considering the infant’s age and the fragile condition of both his heart and windpipe. But thanks to careful planning of our teams, from across cardiac to anaesthesia, we were able to successfully perform the surgery.”