Under the leadership of Professor (Dr.) Ajai Singh, Executive Director of AIIMS Bhopal, for the first time, rare and complex congenital heart diseases in pediatric patients were cured without surgery using Nitinol device. In a remarkable display of medical expertise and innovation, the Cardiology team at AIIMS Bhopal has achieved a milestone by saving the lives of three children suffering from rare and complex congenital heart diseases through percutaneous transcatheter interventions.
The first case involved a 1-year-old female child weighing 6 Kg, presenting with feeding difficulties and chest indrawing. Upon diagnosis of a rare congenital heart defect known as Aortopulmonary window, the team swiftly performed percutaneous transcatheter device closure using a button-like nitinol device. This timely intervention prevented the child from becoming inoperable, utilizing only venous access from the groin to minimize risks associated with arterial access in pediatric cases.
In the second case, a 3-year-old boy weighing 12 kg was diagnosed with a large Ostium secondum Atrial septal defect of size 25 mm. Initially slated for surgical closure, the Cardiology team determined that percutaneous transcatheter device closure was a viable and less invasive alternative. The child was successfully managed with a 28 mm button-like nitinol device, sparing him from the need for cardiac surgery.
The third case involved a 12-year-old male boy experiencing shortness of breath and dangerously low oxygen saturation levels. Diagnosed with AV Malformation of Lung through bubble contrast 2D echocardiography, a preoperative CT Angiography was conducted to plan a percutaneous closure of the malformation. The procedure was executed with precision using a Vascular Plug device, resulting in the normalization of the child's oxygen saturation to 95%.
These complex percutaneous pediatric interventions were spearheaded by the Cardiology team at AIIMS Bhopal, led by Dr. Bhushan Shah with Dr. Amber Kumar, Dr. Kislay Shrivastava, and Dr. Madhur Jain. Their collaborative effort with the Cardiac Anaesthesia team, led by Dr. Vaishali Waindeskar and Dr. S R A N Bhushanam Padala, and the CTVS team, led by Dr. Yogesh Niwariya and Dr. M Kisan, ensured the success of these groundbreaking procedures.
Executive Director Prof. Dr. Ajai Singh extended his heartfelt congratulations to the entire team for their unwavering commitment to excellence in patient care and their pioneering spirit in taking on new challenges. This marks the first instance of AIIMS Bhopal performing such complex interventions in pediatric patients, underscoring the institution's dedication to pushing the boundaries of medical innovation and improving outcomes for patients.
