Monday, Jun 17 2019 | Time 20:06 Hrs(IST)
  • World Food India to be held from Nov 1-4 in New Delhi
  • High Court stays Khader Commission report
  • Raghubar chairs high level meeting over Maoists activities in state
  • Raghubar chairs high-level meeting over Maoists activities in state
  • Two killed, 10 missing as passenger boat sinks in Indonesia
  • Gunmen kill 3 security operatives in Nigeria's oil-rich state
  • At least 9 soldiers injured in IED blast, militant firing
  • Tanda doctors hold protest in support of striking doctors
  • Girl dies of heart attack, man killed by lightning in Kashmir
  • Japanese defence chief apologizes for faulty Aegis Ashore survey data
  • Death toll up to 12 in boat sinking off western Turkey
  • Five killed in road accident in central Mongolia
  • 169 countries facing danger of desertification
  • US witnesses set to voice opposition to proposed new tariffs on Chinese imports at public hearings
States » South

Narayana Health City performs PDA stenting, thoraco-pagus surgery on conjoined twins with shared heart

Narayana Health City performs PDA stenting, thoraco-pagus surgery on conjoined twins with  shared heart
File Photo

Bengaluru, May 28 (UNI) A Team of doctors at Narayana Health City here performed the world’s first PDA stenting as well as region’s first thoracopagus separation surgery and saved the life of baby Cleanne Papillon of Mauritius.

Baby Cleanne Papillon was one of the conjoined twins who had a shared heart with her sister. The babies were thoracopagus twins. Generally in thoracopagus twins the bodies are joined from the neck to the upper abdomen, however, in this case their heart were also joined. Instead of four chambers for each, together, they had seven chambers. As their survival required expert care, the Mauritian health department reached out to hospitals abroad. However, as it was a complex case with negligible chances for survival, many of the hospitals in Europe and other Asian countries were not open to consider the case.

The Doctors at Narayana Health City took it as a challenge. As the children shared a heart and were not in a position to even breathe, they were supported by hand pumps for oxygen through the journey. As soon as they arrived, the multi-disciplinary team led by Dr Ashley D’Cruz, Director & Sr. Consultant Pediatric Surgeon & Urologist, Dr Sanjay Rao, Sr consultant – Paediatric Surgery and Organ Transplant, Dr Shreesha Shankar Maiya, Consultant – Paediatric Cardiology and Electrophysiology, Dr Riyan Shetty, Consultant Critical Care Services & Head of Extracorporeal Life Support, Dr Ganesh Sambandamoorthy, Consultant – Anaesthesia & Critical Care and Dr. Harini Sreedharan, Consultant Neonatology, did a thorough examination of the babies.

Considering the babies had a shared heart and survival chances were bleak, specialties deliberated to find a way to save at least one of them. With the parents consent the team of doctors started the treatment. The doctors put them on intensive care. The intensive care team under the leadership of Dr. Riyan Shetty and Dr Ganesh Sambandamoorthy ensured the babies were stabilized faster. Once they were stabilized, PDA stenting was performed to improve the condition of the heart.

Elaborating about PDA (Patent Ductus Arteriosus) stenting, Dr Shreesha Shankar Maiya said, “Open surgery was not a choice in this case as the children were conjoined from the thorax region. Further, their heart was fused and the chambers were merged making their case a complex and unsuitable one for any surgical treatment. PDA stenting is interventional procedure wherein a stent is placed and the blood flow from the heart is maintained. The intervention was successful and they were oxygenated well.”

While the intervention was successful, as staying together will affect both the lives, the doctors advised separation surgery. Though the babies were twins, one of them suffered from non correctable congenital anomalies. In fact, the unhealthy child was becoming more like a burden on the healthy baby and hence the parents along with the doctors chose to support the healthy child. They separated the babies. The tissues of sacrificed baby were used to reconstruct the torso of surviving twin.

Dr Ashley D’ Cruz said, “The survival rate in conjoined twins are minimal. In fact, the survival ratio of siamese twins with fused heart is even low. The child is the Third Miracle Baby’ in the world who has survived a Thoracopagus separation surgery.”

Expressing his gratitude, Ian Papillon, father of the patient said, “When we got to know that we are expecting twins, we were very excited. After the delivery when we were informed that our daughters were conjoined and were sharing a single heart we were shattered. We thought we will lose both of them. Today, we have at least one of our daughters with us only because of the doctors at Narayana Health and I am extremely thankful to them for that. We are also grateful to our government for funding my children’s visit and their treatment. While I am taking back one daughter, however for me she is mirroring for her sister as one.”

Baby Papillon has responded well to the intervention and is in a position to return to her homeland. Equipped with a team of multi disciplinary experts Narayana Health City has become one of the most sought after hospital to treat conjoined twins. The surgery makes Narayana Health City one of the few hospitals in the world to have successfully completed and saved 4 sets of conjoined twins and 1 case of parasitic twinning apart from this case.


More News
SCR to run 34 Special Trains between H S Nanded and Panvel

SCR to run 34 Special Trains between H S Nanded and Panvel

17 Jun 2019 | 8:01 PM

Hyderabad, Jun 17 (UNI) In order to clear extra rush of passengers, South Central Railway (SCR) will run 34 Special Trains between H S Nanded and Panvel.

see more..

Enhance greenery in Tirumala: Singhal directs officials

17 Jun 2019 | 7:22 PM

Tirupati, Jun 17(UNI) Tirumala Tirupati Devasthanams (TTD) Executive Officer Anil Kumar Singhal on Monday directed forest officials to enhance greenery in the seven hills.

see more..

Court stays election of Mani as Kerala Congress (M) Chairman

17 Jun 2019 | 7:05 PM

Kottayam, Jun 17 (UNI) Thodupuzha Munsiff Court on Monday stayed the election of Kerala Congress (Mani) leader Jose K Mani as the party Chairman.

see more..

Woman hacked to death ; neighbour taken into custody

17 Jun 2019 | 6:57 PM

Wayanad, Jun 17 (UNI) A 35-year old woman was hacked to death at Valad in Madathasserry on Monday.

see more..

Telangana doctors extends their support to Kolkata doctors by stopping OP services

17 Jun 2019 | 6:47 PM

Hyderabad, Jun 17 (UNI) Telangana doctors extended their support to Kolkata doctors who are protesting since Tuesday against the assault on junior doctors by stopping Out Patient (OP) services across the state on Monday.

see more..