Dr. Bhardwaj succeeded in challenging way for Coronary Fistula

 

 

In Indra Gandhi Medical College and Hospital in Shimla, doctors gave a new life to an eight-year-old girl named Aditi who has been suffering from a rare heart disease known as Coronary heart fistula. The girl, Aditi is from an area named Rishikesh in Bilaspur district, got admitted in the hospital with a disease of palpitation ( irregular heartbeat) and she felt a normal heartbeat while she was in resting and the heartbeat was increasing in her walking.

In that condition, the doctor took a challenge and closed the fistula that means a condition in which one artery will supply blood to the heart which has no power to communicate with a chamber or other chamber of the organ. As a result of that, the child will regain the power to walk again without any surgery. “ I examine Aditi and make echocardiography for her. When I get a report of the girl then I  confirmed myself that she has been suffering from Coronary Artery Fistula.” Dr. Rajeev Bhardwaj, professor in cardiology. IGMCH.

The fact is that Aditi’s one of the coronary confirmed that her left circumflex artery supplies blood to the heart had a fistula that means a hole in a coronary sinus and it drains deoxygenated blood to right atrium from heart. As a result of that, with low pressure in the coronary sinus, blood from a vessel of the heart is forced to come to it.

As a result of that, her left circumflex artery with coronary sinus became hugely dilated and heart gets a low amount of blood. To be over confirmed, Dr. Anupam Jobta, Professor of radiology did a CT Angiography and came to know that she had 5.3 mm fistula in size.

Over the world in medical science, coronary fistula is very rare which comes to be in possibility with the rate of 0.02 percent. As a result of that, heart failure, heart attack come easily and it closes open heart surgery.” Dr. Bhradwaj said who took the challenge to repair the fistula without a surgery.

Though Dr. Bhardwaj knew that the work of closing fistula was a tough task, on December 7, he went through a catheter from the femoral artery that passed through into left circumflex artery and lastly through fistula into a coronary sinus. He passed a plug called Apmlatzer vascular plug through this catheter into the fistula and leaving the plug in the fistula, pulled back the catheter. Lastly, he succeeded to close the fistula.

 

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