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Two PDA kids get new lease of life

TWO CHILDREN with same problem ? Patent Ductus Arteriosus (PDA) ? just got a renewed chance to lead a normal life. Thanks to a procedure called coil closure of PDA, doctors here have offered hope for children with similar problems at Indore itself in keeping with the global trend of minimal invasive procedures.

india Updated: Dec 02, 2006 15:31 IST

TWO CHILDREN with same problem — Patent Ductus Arteriosus (PDA) — just got a renewed chance to lead a normal life. Thanks to a procedure called coil closure of PDA, doctors here have offered hope for children with similar problems at Indore itself in keeping with the global trend of minimal invasive procedures.

At CHL Apollo Hospital
Six-year-old Sameeksha Yadav became the first child to be treated for the defect using the coil closure of PDA in the region. Heart specialists Dr Vinod Somani and Dr Shailendra Trivedi performed the procedure on Sameeksha on November 24 at CHL Apollo Hospital.

Life for Sameeksha, hailing from a village near Shivpuri, was difficult, as PDA remained undetected for a long time. She was brought to Dr Neeraj Jain of Apollo for gastro-intestinal problem, where owing to a murmur in the heart, he had a doubt and referred her to Dr Somani.

“Dr Trivedi and myself first sent Sameeksha for echo-cardiograph to confirm she had PDA. Once sure, we decided to go for coil closure of PDA for which a 5 mm diametre coil was used,” Dr Somani.

The child was given mild sedation only and the whole procedure was performed in just 45 minutes, according to Dr Trivedi, who added, “Sameeksha can play and jump and perform all functions like a normal child.”

Sameeksha, who comes from a rural background, was admitted to the hospital on November 23, the procedure was carried out on November 24 and the very next day, she was discharged.

“Only a routine follow-up would be required as a precautionary measure. No medication is necessary after this procedure,” Dr Somani added. Including Rs 15,000 for the equipment, the whole procedure cost Sameeksha’s parents a mere Rs 25,000. “It would have been anywhere between Rs 45,000 to Rs 60,000 in metros,” Dr Trivedi added.

At Choithram Hospital and Research Centre
One-year-old Ishant Meghwani sat happily on his mother’s lap oblivious to the fact that he has become the youngest child in the region to be treated for PDA after Consultant Interventional Cardiologist Dr Alkesh Jain performed procedure on him at Choithram Hospital on Thursday.

One of the twins born to Anita and Sandeep Meghwani, a cloth merchant from the City, Ishant also had another congenital problem – VSD, a valve defect too. However, his VSD being very small, the defect was overcome naturally. But PDA continued which lead to complications, including stunted growth, which was evident from his less than normal weight.

“After giving mild sedation, Ishant’s artery and vein of the leg was punctured. An angiography was done which placed the defect about 2.5 mm inside the heart,” Dr Jain said.

The child was constantly monitored for heartbeats and respiration status. The coil was put in the channel using sophisticated equipment and after a few anxious moments, the coil was released in the heart with meticulous calculations. The baby was kept in the ICU for about three hours after this.

“After the sedative effect worn off, the baby was able to take feed,” he said. Another echocardiograph later, it was confirmed the defect has been taken care with much lesser problems to the small child.

The operation would cost the family approximately Rs 20,000 including Rs 6,500 for the coil. The coil is available at 24 hours notice most of the times. “Similar procedure would set back a patient with something like Rs 40,000 and above in the metros,” Dr Jain added.