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Mangalore: 18-year-old Cured of Heart Defect Sans Surgery at Unity Hospital

  •   Tue, Nov 06 2012 09:11:37 AM

Mangalore: 18-year-old Cured of Heart Defect Sans Surgery at Unity Hospital

Media Release

Mangalore, Nov 6: An 18-year-old girl was cured of her birth defect during a three hour long procedure at Unity Health Complex here on October 14.

The patient was diagnosed with uncontrolled blood pressure and pain in both legs, caused due to severe coarctation of the aorta, a tight band like constriction of the major artery arising from the heart.

The procedure was performed percutaneously without leaving any outward scars which is an important consideration for this girl of marriageable age.

Dr Paul Varghese led the cardiac-cath team along with Dr Chethana Anand leading the anesthetic team.

After the procedure, the girls’ blood pressure returned to normal and she was discharged without any medication on the third day.

Unity Hospital carried out this procedure as a part of a camp for patients with biorth defects of the heart. The procedure which costs Rs 1.2 lacs was performed at a subsidized rate.

Children and adults with septal defects and patent ductus arteriosus (holes in the heart) were treated with percutaneous procedures during this camp.
  

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Comment on this article

  • Dr Kusuma Kumair G , Nellore/Kodyadka

    Wed, Nov 07 2012

    Great work done , I am very happy unity group is helping poor patients by conducting camps for poor people May god almighty bless Dr Paul and everyone here who is involved in these type of surgeires/

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  • Simon R Pinto , Al Mafraq Hospital AbuDhabi

    Tue, Nov 06 2012

    Hi sharal I hope you are asking about Bicuspid Aortic Valve . This is congenital abnromality .Usually only Mitral Valve is bileaflet valve between LA and LV and Aortic valve is Tricuspid configuration , that is three leaflet valve . Bicuspid Aortic valve leaflet orientation and morphology can vary .The extracellular matrix of the aorta in patients with BAV shows marked deviations from that of the normal tricuspid aortic valve.This can be associated with heart murmur and often you can find difference in blood prresures . Such patients may associated with Coarctation .You may find root dilation similar to that of Marfan Syndrome . The dilatation may involve the ascending aorta (most commonly) but may also involve the aortic root or transverse aortic arch. Can be diagnosed by ECHO as well as by MRI . Patients need careful study through Cardiologist.
    Size and proximal Aorta need to be evaluate regularly . Such patients under go Aortic Valve replacement either Mechanical or Tissue valve
    Simon R Pinto Open Heart Surgery Dept Al Mafraq Hospital - AbuDhabi

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  • sharal, mangalore/dubai

    Tue, Nov 06 2012

    Dr Simon, i have heard about BICUSP VALVES.... How serious is this condition and what are the solutions?..

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  • Simon R Pinto, Mafraq Hospital AbuDhabi

    Tue, Nov 06 2012

    Usually there are three types of Coarctation called Preductal ( Narrowing proximal to ductus ), Ductal ( at the inseration of Ductus ) and Postductal Coarctation ( distal to Ductus). Preductal is life thretening , ductal appears when you close the PDA , where as Post ductal you find high pressure at upper extremities and low pulses in the lower extremities. after the correction if the BP is not controlled can lead to have Aortic Dissection / Aortic aneurysm. Such patients need to observe thier BP as they grow and need to take Anti- Hypertensive pills if uncontrolled BP and need to consult Cardiologist once in three months.
    I certainly Congratulate entire team led by Dr Paul and wish you all every success .....WEL DONE
    Simon r Pinto Open Heart Surgery Dept Al Mafraq Hospital AbuDhabi

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  • Roshan, mangalore

    Tue, Nov 06 2012

    Co-arctation of Aorta has been a regular occurence amongst infants these days ( largely due to lifestyle symptoms during pregnancy), this is easily spotted immediately after childbirth. So any corrective measure should be taken immediately after few years of birth. High blood pressure recurs regularly but medication should be continued for life.

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  • Wilma, Dubai

    Tue, Nov 06 2012

    As per the Mayo clinic medical education it says that:
    "The most common long-term complication of coarctation of the aorta is high blood pressure. Although your blood pressure usually falls after the aortic coarctation has been repaired, it may still remain higher than normal. Occasionally, the segment of the aorta that has been repaired will become weak and bulge (aortic aneurysm) and may eventually rupture. In some cases, the coarctation will recur, possibly even years after treatment, but it's possible to have additional surgeries or procedures to correct the re-narrowing".


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  • R.Bhandarkar., M

    Tue, Nov 06 2012

    'Heard of this -something like 'Key-Hole Surgery'-Wonder whether this leaves 'key -holes' in the pocket in it's aftermath!!

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