Born with a disorganised ‘right heart’ boy survives complex surgery

Sanket was diagnosed with a complex heart defect, wherein the heart was located in the right side of the chest. All the heart chambers and arteries were interchanged. Also there was large hole in the heart. The artery to the lungs was narrow due to this there was extremely poor supply of impure blood to the lungs for purification

Sanket More (6) who is recovering well after the heart surgery with his parents
Sanket More (6) who is recovering well after the heart surgery with his parents

Sanket More is looking forward to return to school and play with his friends. The six-years –old boy recently underwent a successful complex heart surgery at Sir H N Reliance Foundation Hospital.

A son to parents who are farmers from Aurangabad district of Maharashtra. His mother said his recovery was possible in part to his positive attitude to life.

Sanket was diagnosed with a complex heart defect, wherein the heart was located in the right side of the chest. All the heart chambers and arteries were interchanged. Also there was large hole in the heart. The artery to the lungs was narrow due to this there was extremely poor supply of impure blood to the lungs for purification.

After an initial clinical evaluation, the child underwent a detailed echocardiography to confirm the findings, as well as to chart the surgical path for correction.

Recalling the turn of events Dwarka More, Sanket’s mother said, “Sanket would get tired soon. After playing for few minutes his legs would started aching. And his face would turn blue. At times he felt pain in his heart. He would often face these health issues since birth.”

Observing Sanket’s health which was deteriorating day by day his parents decided to take him to Pune for treatment. From where he was referred to Reliance Foundation Hospital, Mumbai and was admitted in the month of March.

“We were really worried about his health. Physically he was not active compared to other kids of his age. In rural areas it’s difficult to get the right diagnosis at the right time, “said Dwarka More.

For the More family it was not only a question of a right diagnosis but also financial problems. The surgery generally costs around Rs 4 to 5 lakh. But with the help of charity and donations this surgery was made possible.

The More’s are grateful for the help that came their way as they felt the surgery wouldn’t have been possible due to their financial constraints.

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“We actually never thought that my son will get a healthy life. But more than us it is Sanket’s positive attitude at such a young age that kept encouraging us to not lose hope. And this victory belongs to him, “said Dwarka.

The surgery was performed by Dr Shivaprakash Paediatric Cardiac surgeon, Dr Shreepal Jain Paediatric Cardiologist and Dr Jeril Kurien Paediatric Cardiac Anaesthetist on May 19.

Dr Shivaprakash Krishnanaik, Head of Paediatric Cardiac Sciences at Reliance Foundation hospital who described this surgery as challenging saying, “We have done such surgeries before on adults, but not on child. We refer to many journals and research papers before the surgery. As we wanted to provide normal, healthy and qualitative longevity life to this child.”

“A cardiac catheterisation test was performed to assess the pressures in the arteries of the lungs. The surgical team discussed and planned all the steps of the complex repair right from opening the chest until closing it,” added Krishnanaik.

Asked about the prevalence of such cases Dr Shreepal Jain, Senior Paediatric Cardiologist at Reliance Foundation hospital said, “The incidence of this particular subset of heart defect is 0.5% of all the congenital heart defects. Amongst them 20% have their heart on the right side”. Nearly half of them have some form of defect inside the heart like a large hole or narrowing of the artery towards lung”.

“The child is doing great now. We are seeing improvements in his health. He is eating well and excited to go back his home town. He is under observation in the ICU and we may discharge him soon after seeing some more improvements in his health, “said Jain.