NH performs the world’s first PDA stenting

PDA stenting was performed to improve the condition of the heart

NH, PDA stenting, Thoracopagus twins, The Mauritian health department, Dr Ashley D’Cruz

A team of doctors at Narayana Health City performed the world’s first PDA stenting as well as region’s first thoracopagus separation surgery and saved the life of baby Cleanne Papillon. Hailing from 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. Narayana Health City stood up as a Good Samaritan and took up this challenging case owing to their vast experience in handling complex pediatric cases.

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 under the aegis of Dr Ashley D’Cruz, director & sr. consultant pediatric surgeon & urologist, Dr Sanjay Rao, sr consultant – paediatric surgery and organ tranplant, 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, multiple specialties had to deliberate 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 stabilised faster. Once they were stabilised, PDA stenting was performed to improve the condition of the heart.