New-born heart was beating on his right side…


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Jamshedpur 18, August-2016. A pre-term 32 week male baby weighing 1.6 kg was delivered at a local hospital and required emergency surgery as soon as it was born due to respiratory distress. The chest x-ray showed dextrocardia, i.e. heart on the right side of the chest so the very next day after birth, the baby was referred to Brahmananda Narayana Multispecialty Hospital at Tamolia. During the operation, diaphragm was found to be lax and redundant, which was plicated and brought down to normal position along with the abdominal part creating a space for lung to expand. After the surgery, patient’s oxygen saturation in body came to normal with regular breathing pattern. This was a life saving operation otherwise baby could have died because of oxygen hunger (hypoxia) . Explaining the case, Dr. Perwez Alam said, “Since there was persistent de-saturation with rapid breathing and persistent weight-loss, the baby was planned for emergency operation to relieve the respiratory distress and to save his life. It’s a rare abnormality with an incidence of 1 in 10,000 live births. If not operated on time most of the babies will have recurrent chest infection, pneumonia and may die with infection” informed Dr. Perwaiz and he also said that he has done 6,500 surgery but this is his 1st case in his life. “This is a unique case and first of its kind in Jharkhand to our knowledge as this baby is the youngest and smallest baby in Jharkhand to undergo successful thoracic surgery just a few days after birth with such a low birth-weight”, informed Prateek Jain, facility director, Brahmananda Narayana Multispeciality Hospita The breathing was normalized and the baby was discharged from the hospital on the sixth day with regular follow-up.
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Sneha Sharma ,Intern Editor at Tatanagar Live, B.A (Journalism) Garden City College Bangalore.(pursuing).