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Image Caption ( L to R): Dr Aparna Jaiswal, 3 year old patient (Master Murtadha Ameer Mausa) and his Mother.
- Patients heart was Severely blocked leading to a life – threatening condition
- Timely treatment & diagnosis led to revival of the patient
- The pacemaker implantation in such cases are difficult because the child is at growing stage
New Delhi, June 4, 2018: Fortis Escorts Heart Institute took up the challenging case of Master Murtadha Ameer Mausa, 2 years 8 months old Iraqi boy suffering from Complete Heart Blockage who came to India for medical treatment. Team of doctors led by Dr. Aparna Jaswal and Dr. Radha Krishnan put all means together to give the kid a new life inspite of all the complications involved in the surgery.
Ameer Mausa, had already undergone an open-heart surgery in Mumbai at the age of 1.5yrs. The patient was referred to many hospitals around the world due to slow pulse rate and multiple episodes of fainting where he was suggested undergoing another open heart surgery. When brought to Fortis, the patient’s pulse rate was recorded to be 42 per minute and BP was 80/50 mmHg. After a lot of deliberations, it was considered that a pacemaker be implanted without the cardiac surgery but instead through the veins. The Patients parents were extremely reluctant to go in for another cardiac surgery. However, the doctors briefed the parents about the complications involved with another open heart surgery. He was then taken up for single chamber (VVIR) pacemaker implantation via the veins under the clavicle.
Dr. Radha Krishnan, Director Paediatric Cardiology, Fortis Escorts Heart Institute said, “Ameer had earlier undergone open heart surgery to correct a congenital anomaly. Subsequent to this, patient developed complete heart block which means that pulse rate was slow and as a result the child suffered from multiple episodes of fainting. Although, other hospitals suggested to opt for an open heart surgery for the placement of the pacemaker, we took up the challenge of routing the pacemaker through the veins as second open heart surgery in a three year old kid would lead to further complications in the long run not ensuring a healthier life.”
Dr. Aparna Jaswal, Additional Director Cardiology, Fortis Escorts Heart Institute said, “When the patient was brought to us, he had already undergone a cardiac surgery and subjecting him to another one would put him at a high risk because of his age. Thus, he was implanted with a tiny trans catheter pacemaker without surgery and the entire procedure lasted for less than 45 minutes. As a follow up he was given a remote monitoring device wherein he can send in his transmissions from his home to us whenever they want. He has been advised to come for review every six months.”
Dr. Kousar Ali Shah, Zonal Director, Fortis Escorts Heart Institute said “I am glad we have a team of excellent doctors who have the capability to perform the most complicated cases. Dr. Aparna and her team were able to successfully conduct this surgery and adopted a very comprehensive approach to tackle the case. ”
Treatment of complete heart block usually requires placement of a permanent pacemaker. In cases of young children with congenital complete heart block who are asymptomatic, this may be postponed for several years. However, inevitably almost all patients with complete heart block require a pacemaker to protect the function of the heart and prevent the development of symptoms. Complete heart block can be found in a number of different situations in paediatric patients. Some patients who undergo open heart surgery may develop complete heart block as a result of the surgery. Complete heart block may be the result of transmission of antibodies in the womb from the mother to the foetus.
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