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New treatment method used at Manipal Hospital

By Our Staff Reporter

BANGALORE Jan. 4. Cardiologists at the Manipal Heart Foundation have treated a girl who had a rupture of the sinus of valsalva (RSOV) through a non-invasive technique using Amplatzer device. The procedure was performed on Tarannum (12) from Chitradurga on December 30 by a team led by V. Subhash Chandra, head of the cardiology department of the foundation.

Dr. Chandra said patients with RSOV would undergo surgery where the heart-lung bypass machine would be used. But in emergencies, as in this case, the mortality rate would be high if the surgical procedure was used. The non-surgical procedure using Amplatzer device conducted in the catheterisation lab had been tried elsewhere in the world. It was done for the second time in India, the first in acute emergency. The first attempt was made at the G.B. Pant Hospital in New Delhi.

Tarannum was admitted to the hospital with complaints of difficulty in breathing and cough. She was found to be suffering from RSOV, a rare condition where "there is a weakness of the cusp of the aorta — the tube that takes pure blood from the heart and it ruptures into the other chambers of the heart". Till now, this had been treated using surgical methods only, he said. Tarannum's condition was acute — a gross heart failure, and because of low blood pressure, she developed kidney problems too. The cardiology team decided to treat her using the non-surgical method. Like in any other catheterisation method, a small hole in the right groin was made to place the device. The child's haemodynamic condition improved immediately. The kidneys started functioning within a day, Dr. Chandra said.

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