Thursday, Jul 9 2020 | Time 03:42 Hrs(IST)
image
  • Covid-19 cases in Nashik go beyond 6,000
  • MP CM expresses grief
  • MP CM mourns Churaman’s death
  • Covid-19 cases in Thane cross 47,000
  • US COVID-19 cases surpass 3 mln -- Johns Hopkins University
  • UK COVID-19 deaths rise to 44,517 as another 126 patients die
  • Death toll rises to 5 in eastern Ukraine forest fire
  • Harvard, MIT sue US gov't over rule on int'l students
  • Iraq faces long battle against COVID-19, as daily cases hike to 2,741
  • MP CM unveils Mukhya Mantri Street Vendor Loan Scheme
  • More S African politicians test positive for COVID-19
  • Four dead in central China landslide
  • Harvard, MIT sue US gov't over rule on int'l students
  • Renowned doctor among 7 test corona positive in Kolhapur
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

Bengaluru gets 100 more ambulances to ferry Covid-19 patients

08 Jul 2020 | 10:29 PM

Bangaluru, Jul 8(UNI) Karnataka government on Wednesday directed the Bruhat Bengaluru Mahanagara Palike (BBMP) to add 100 additional ambulances to its existing fleet of 400 ambulances.

see more..

V Muraleedharan hints stern action against those involved in gold smuggling

08 Jul 2020 | 10:22 PM

Thiruvananthapuram, Jul 8 (UNI) Union Minister of State for External Afffairs V Muraleedharan on Wednesday said those who involved in gold smuggling though UAE's diplomatic baggage will be brought to light.

see more..

COVID: Commandos deployed in Poonthura region

08 Jul 2020 | 10:15 PM

Thiruvananthapuram, Jul 8 (UNI) A team of 25 commandos was deployed in Poonthura region in this City on Wednesday to contain the spread of COVID-19.

see more..

Septuagenarian farmer gored to death by Indian Gaur in South TN

08 Jul 2020 | 10:00 PM

Tenkasi, Jul 08 (UNI) A 71-year-old farmer was killed when an Indian Gaur attacked him in his farm close to the Western Ghats in this district on Wednesday.

see more..

Covid -19: Biggest single-day spike of 183 positive cases in DK, 31 in Udupi, 59 in Mysuru

08 Jul 2020 | 9:51 PM

Mangaluru/Udupi/Mysuru, Jul 8 (UNI) With 183 new coronavirus cases, Dakshina Kannada reported the biggest single-day spike on Wednesday, July 8.

see more..
image