First successful neonatal percutaneous cardiac intervention done in Maa Kauvery and Heart city, Trichy

Suresh Chelliah1, Vinothkumar.S. P2, Senthikumar K.3, Sarathkumar K4, Preethi Priyadarshini R5, Senguttuvan D6

1Senior Consultant Pediatrician, Maa Kauvery, Trichy, Tamil Nadu

2Associate Consultant Pediatric Interventional Cardiologist, Maa Kauvery, Trichy, Tamil Nadu

3Senior consultant Neonatology, Maa Kauvery, Trichy, Tamil Nadu

4Registrar neonatology, Maa Kauvery, Trichy, Tamil Nadu

5Cardiac Anesthetist, Maa Kauvery, Trichy, Tamil Nadu

6Senior Consultant Pediatrician, Maa Kauvery, Trichy, Tamil Nadu

Ultra short Case Presentation

A term 38wks/SGA-IUGR 2kg/baby born by LSCS; had mild respiratory distress at birth. antenatal screening showed a normal 4 chamber view of the heart and no vascular abnormality. There was no asphyxia. Examination revealed a desaturation of 90-92% & loud systolic murmur with single S2 without distress. A critical cardiac abnormality was suspected.

Infant was transferred to NICU and was started on CPAP as X ray showed features of RDS.

Echo done within 6hrs of life revealed Critical Pulmonary Stenosis (Duct Dependent Pulmonary Circulation & Suprasystemic RV pressure with PFO right to left causing desaturation)

Infant was started on low dose PGE1 for ductal patency.

Within 48hrs of life, infant underwent Percutaneous Balloon Pulmonary Valvuloplasty through femoral venous access. Post procedure PS gradient reduced to 25mmHg with good ante grade flow and spo2 96%. Prostaglandin infusion was stopped.  Infant was extubated within 12 hr and was discharged in 4 days. On follow up at 4 weeks, he was growing well, had residual mild pulmonary stenosis and saturation was normal

Video clip added shows glimpse of the case and procedure.

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