by The Welthi Bureau
A 12-year-old girl from Adilabad was gifted a new chance at life when doctors at Continental hospital performed a successful heart transplant. Trisha Mandal, a student of 5th grade was suffering from symptoms such as breathlessness and inability to do day- to-day activities. She was diagnosed with dyspnea on exertion class 3, which is an acute condition of breathlessness and fatigue in doing regular tasks. Upon presenting at Continental Hospitals, evaluations revealed that she was suffering from dilated cardiomyopathy with severe left ventricular dysfunction. This rare condition occurs in about 1-2 cases per lakh of children.
Usually, in a healthy person, the ejection fraction (which is the heart’s ability to pump blood through the body) is almost 60-70-%. However, the ejection fraction in Trisha’s echo was only 10 to 15%. Since this condition is uncommon in children and also irreversible in some cases, Trisha’s only hope of survival was to undergo a heart transplant.
Hailing from Adilabad, Trisha’s parents- Mr. Vikas & Mrs. Sandhya Mandal were at first skeptical about the financial burden of such a complicated surgery. As they come from a lower socio economic background and are daily wage earners, Trisha’s case was mainly approved by Arogyasari Trust under Govt of Telangana. Her parents were fully educated about the severity of her condition as well as the treatment plan. After understanding the challenges, outcome and future potential of a heart transplant, the parents gave their consent for the procedure. The Continental Transplant Team swiftly moved into action and registered Trisha on the state organ donation program- Jeevandan.
The child was admitted to Continental Hospitals and her doctors began the treatment process to stabilize her cardiac conditions. In the meantime, Jeevandan alerted the availability of a matching donor- a 14-year-old girl with similar body weight and heart size at Aware Global Hospitals, LB Nagar. The Continental Transplant Team was instantly activated and the donor's heart was transported to Continental Hospitals through a specially activated green corridor- covering a distance of 64.3km in 1 hour. At Continental Hospitals, a team of transplant physicians led by Dr Sandeep Attawar- Head of Cardiac Surgery & Minimal Access, Heart and Lung Transplantation, Dr. Sameer Diwale- Head of Cardiothoracic & Vascular Surgery, Dr. Sunil Swain- Pediatric Cardiac Surgeon, Dr. Prashant Patil- Pediatric Cardiologist and Dr. Anjul Dayal- Pediatric Intensivist, Dr. Ramesh Babu- HoD & Senior Consultant Cardiac Anesthesiologist, Dr. Anil Kumar Reddy- Consultant Cardiac Anesthesiologist carried out the transplant surgery without any complications. The child was removed from cardio pulmonary bypass smoothly and shifted to ICU where she was eventually weaned off the ventilator within a few hours. She was mobilized and was out of the bed in 2 days.
Speaking of the surgery, Dr. Sunil Kumar Swain, Pediatric Cardiac Surgeon said, “Trisha is a normal, 12-year-old girl weighing 30 kgs. Due to her cardiac condition, Trisha’s heart was unable to pump the blood adequately to maintain the required circulation in the body. Due to her low ejection fraction and inadequate blood circulation, she subsequently also developed a clot in the heart. Luckily, since we found the matching donor organ early, we were able to avoid the risk of the clot getting dislodged and causing further neurological problems. She has recovered well from the surgery and we are keeping her under close observation.”
This successful transplant would not have been possible without the kindness of the donor’s family who consented for organ donation and the timely support of Jeevandan. We are grateful to the traffic and police authorities for their help in swift transportation of the organ. We would also like to show our gratitude towards Telangana Arogysari Health Care Trust which funded the surgery along with partial support from Fortis Foundation and also to our exceptional Continental Transplant Team for their fruitful efforts.
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