Mysuru: Doctors of Narayana Multispeicality Hospital in the city have given a new lease of life to a woman and her newborn baby.
Dr M N Ravi, Cardiologist and clinical director of Narayana Multispeicality Hospital told media, “Sowmya (Name Changed), 27years, T Narasipura taluk, presented at Narayana Multispeciality Hospital, Mysore with six months amenorrhoea and breathing difficulty and swelling of the feet for 10 days.”
She was diagnosed with pulmonary edema and admitted to Coronary Care Unit (CCU) under Dr Rajendra N S Senior Interventional Cardiologist on 02/10/2021. She was managed in the CCU for the day with inputs from consultant obstetrician laproscopic and infertility specialist Dr Savitha Rathod Naik and Senior Cardiac Surgeon and Clinical Director Dr M N Ravi. She was diagnosed with valvular heart disease – Severe Mitral Stenosis and regurgitation. Since she was in pulmonary edema (waterlogged lungs and heart failure), she was counseled for emergency Caesarean Section because of prematurity and poor survival chances of the baby which, was done on 03/10/2021 by Dr Savitha Rathod Naik and delivered a live baby of weight 1 kg.
Mother was again managed in the CCU. Due to respiratory failure, she got intubated and put on a ventilator. Even on a ventilator since she was unstable with cardiogenic shock, respiratory failure, kidney dysfunction, the family was counselled for emergency open-heart surgery as a life-saving procedure.
On 04/10/2021 she had open heart surgery and mitral valve replacement. Over the next 24 – 48 hours she made a dramatic recovery and weaned off the ventilator on the 2nd postoperative day. She made a good and fast recovery after the surgery and continued ICU management and was discharged from the hospital after a week.
Following Emergency LSCS, the child had respiratory distress for which the baby was intubated and resuscitated at OT and then shifted to NICU under the case of Senior Pediatrician and Neonatologist Dr. Maneesh S Giri.
The baby was connected to the ventilator in the NICU, where it was managed with all the support it needed since the baby was pre-term. Presently the baby is weaned off the ventilator after 16 days and is on oxygen support. The baby is making good progress at NICU.
Summary: The mother was unaware of the heart problem till she was checked in the CCU after admission in pulmonary edema, heart failure, and 6 months into pregnancy. Diagnosis of the heart defect with transesophageal echo, early Caesarean Section to save the baby and ventilator management and emergency heart valve replacement for the mother to save her, and later management of the baby in the NICU with ventilator and other supportive measures reveal very good team effort by the heart team, obstetrician and pediatrician, anaesthetists, ICU team, nursing staff with good support from the ancillary departments, which would be possible in a tertiary care hospital like NH, where all medical specialties and advanced facilities are available to manage such patients.
– Team Mysoorunews