Unique surgical intervention helps save boy with congenital heart disease

A surgical technique known as Ross procedure help treat a boy with a rare form of congenital heart disease. For this the doctors used the patient’s own pulmonary valve to replace the aortic valve, this will help ease the blood flow to the heart. This surgery has helped give him a better quality of life

Bangalore Hospital saves bus conductor with a rare heart condition using a unique procedure

  • Soham Waghmare, a five-year-old boy from Mumbai was admitted at S L Raheja, a Fortis Associate Hospital for a heart ailment.
  • He had a hole in his heart since birth. Doctors at Raheja Hospital performed ‘Ross’ procedure to cure his heart disease.
  • Doctors found that he was suffering from ‘bicuspid aortic valve,’ which is an inherited form of heart disease.

Soham had been suffering from the heart ailment since birth. He used to frequently fall ill. His family decided to take him to the doctor to find the reason behind his recurring ill health, whereupon it was diagnosed that their son was suffering from a congenital heart disease (CHD).

His family was stunned on hearing this, but their financial status was such that they could not afford surgery.

Later on in 2017, Soham was diagnosed with dengue and his family brought him to S L Raheja Hospital for treatment.

Soham was undergoing treatment under Dr Bhushan Chavan, a paediatrician attached with Raheja hospital. While doing several investigations, doctors found out that Soham was actually suffering from bicuspid aortic valve, which is an inherited form of heart disease in which two of the leaflets of the aortic valve fuse during development in the womb resulting in a two-leaflet valve (bicuspid valve) instead of the normal three-leaflet valve (tricuspid). Hence, the doctors decided to perform a surgery on him.

While speaking to My Medical Mantra, Dr Vijay Agarwal, a paediatric heart transplant surgeon said, “Soham is a very young child, so it was a challenge in front of us to obtain a valve for him. We decided to proceed with the Ross procedure. In this procedure, we replaced aortic valve from the patient’s body with the pulmonary valve. After this procedure, blood flow to the heart becomes easy.”

What is a bicuspid aortic valve?

  • Bicuspid aortic valve inherited form of heart disease in which two of the leaflets of the aortic valve fuse during development in the womb resulting in a two-leaflet valve (bicuspid valve) instead of the normal three-leaflet valve (tricuspid).
  • Only two per cent of the children suffer from this condition.
  • There are no noticeable symptoms of this disease.

What is Ross procedure?

  • The Ross procedure (or pulmonary autograft) is a cardiac surgery operation where a diseased aortic valve is replaced with the person’s own pulmonary valve. A pulmonary allograft (valve taken from a cadaver) is then used to replace the patient’s own pulmonary valve.
  • Ross procedure can be performed on the children between 1 to 15 years of age.
  • In this procedure, the valve of a diseased persons can also can be used for the operation

While speaking to My Medical Mantra, Dr Bipin Chevle, zonal director for S L Raheja Hospital said, “Now Soham can live his life like any other child of his age. The doctors team did a tremendous job to give a new lease of life to him.”

Dr Balaji Aironi, a heart specialist from Mumbai’s civic-run, KEM Hospital said, “Ross procedure is generally performed on those patients who are born with a congenital heart disease. In most cases, this procedure is performed on kids. This procedure is very complicated. But, if done with correct precision, then it can help the patient in the long-term.”