Thursday, Aug 22 2019 | Time 18:48 Hrs(IST)
image
  • Ex-Finance Minister P Chidambaram remanded to five-day CBI custody in INX Media scam case
  • La Pegasus Polo renews partnership with Argentine Open
  • Assam asked to increase food grain storage capacity
  • BJP has no role in arrest of former Union Finance Minister P Chidambaram: Nirmala Sitharaman
  • FIVE-DAY CBI CUSTODY FOR CHIDAMBARAM IN INX MEDIA SCAM CASE
  • Pakistan ready to push nearly 100 Afghan terrorists in Kashmir: Intel reports
  • SWR cancelled seven trains due to landslide
  • WTO reforms must be taken up by all member countries: Piyush Goyal
  • Int'l watchdog urges UN to set up panel to probe human rights violations in Venezuela
  • AAP lawmakers demand Ordinance to allot land for demolished Ravidas Temple; Ruckus in Assembly
  • Haryana govt issues transfer, posting orders of 24 IPS officers
  • India will not accept mediation or interference in its internal matters: Vice-Prez
  • Delhi Assembly demands Ordinance to allot land for Ravidas Temple
  • Karthi Chidambaram lauds arguments in court by Sibal, Singhvi
  • Facebook removes dozens of accounts, pages over links to Myanmar military
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.

UNI MSP RS SBD1510

More News

SWR cancelled seven trains due to landslide

22 Aug 2019 | 6:36 PM

Bengaluru, Aug 22 (UNI) South Western Railway (SWR) today announced cancellation of Seven trains in Mysuru Division following landslide due to heavy rain at various places between Sakaleshpur-Subramanya Road Ghat Section.

see more..

Yediyurappa to visit Delhi to get clearance for Portfolios to 17 newly inducted Ministers

22 Aug 2019 | 6:00 PM

Bengaluru, Aug 22(UNI) Karnataka Chief Minister B S Yediyurappa will be on a two-day visit to New Delhi and is expected to meet the Union Home Minister Amit Shah, who is also BJP National President and likely to discuss about the allocation of portfolios to the newly inducted 17 Ministers.

see more..

Cottage allotment only for 'present donors' during Brahmotsavams: TTD

22 Aug 2019 | 5:31 PM

Tirumala, Aug 22 (UNI) Tirumala Tirupati Devasthanams (TTD) on Thursday said that cottage allotment would be made for donors during Brahmotsavams only if they personally came for the festival commencing from September 30-October 8.

see more..

Honour killing: Ten, including girl's brother, adjudged guilty

22 Aug 2019 | 5:23 PM

Kottayam, Aug 22 (UNI) Holding as 'honour' killing the death of Kevin P Joseph, a Dalit Christian youth, the Principal Sessions Court in Kottayam on Thursday convicted ten persons, including the girl's brother, in the murder case by the family of his wife.

see more..
image