A similar operation was also conducted on a 17-year-old girl and both the patients were provided treatment free of cost under the Rashtriya Bal Swasthya Karyakram (RBSK) scheme.
Explaining the phenomenon, assistant professor of cardiology department Dr Prashant Kumar, who conducted the surgeries on Surbhi Kumari (3) and Khushboo Kumari (17) on Friday, said, the opening (ductus arteriosus) is a part of baby’s circulatory system in the womb which usually closes after birth. If it remains open, it becomes Patent Ductus Arteriosus (PDA).
“I have been doing these interventions for long, but conducting a closure on a three-year-old is rare and has been done for the first time at Rims. The successful closure of PDA in such cases is difficult as the organs of the body are relatively smaller in size and must be done with complete accuracy, because if left unattended, it leads to stunted growth and breathlessness and can be life threatening.”
On being asked about the challenges, Prashant said, “The two cases were completely different as kids develop recurrent chest infections with this defect while those above 14 start experiencing breathlessness and the management has to be different for each kind. For patients less than five years of age, we have to be very cautious as these interventions are aimed at providing quality of life.”
Dr Prashant also said the operations would not have been possible without the help from Dr Sanjay Kumar of the anaesthesia department and all faculty members of the cardiology department.
On being asked why percutaneous device closure was preferred over open heart for the closure intervention, Dr Prashant said, “The parents of both the patients didn’t want an open heart surgery as it leaves a scar on their body.”
Khushboo’s parents, who hail from Deoghar, said she was losing weight due to the complication. Surbhi’s parents on the other hand said they are grateful to the doctors of Rims.
“I had visited Rims in December last year and after the doctor diagnosed my daughter with PDA, we had thought we would be going for medication. But Dr Prashant made us aware of the RSBK scheme and assured us that the treatment will be free of cost and he will take all necessary precautions. I am thankful to him for what he has done,” said Surbhi’s mother.