Patent ductus arteriosus – PDA is one of the most common congenital anomalies that transpires in new-born babies when a temporary blood vessel, called the ductus arteriosus fails to close naturally within 24–48 hours after birth. Premature babies are more vulnerable and hence post birth must be carefully examined by the doctors. If PDA goes undetected in a baby, then it will exist in adulthood as well unless the corrective measure is taken. The ductus arteriosus opening can range from small to large. Large openings invariably aggravate the severity of the patient’s condition. Most common symptoms are poor weight, fatigue, lack of interest in feeding, abnormal breathing and murmuring sound during the heartbeat.
While PDA is treatable in a baby, without much difficulty, it is the incidence of other diseases along with PDA which makes the patient’s condition worse. Debika Biswas Roy, a young mother from Naihati had to face such a situation when her new-born baby had both Patent ductus arteriosus (PDA) and Congenital Rubella Syndrome. Rubella is a contagious viral disease, better known as German measles. Congenital Rubella Syndrome is one of the leading causes of deafness in unborn children. Rubella leads to miscarriage or serious birth defects in a developing baby if a woman is infected while she is pregnant. Vaccination is the only way to prevent this disease.MMR (measles-mumps-rubella) is the most prescribed vaccine. Debika’s child was infected by Rubella after he was born and he already had a congenital PDA which didn’t close spontaneously. However, her child’s survival story is unique in every sense because she found hope amidst such impossibility, when all the renowned physicians and hospitals in this city had given up on her son.
Debika Biswas Roy got this shock of her life when she was carrying the baby in her womb. While getting her USG done as a part of the routine check-up, the doctor informed her that the baby was in danger since the amniotic fluid had reduced. As her delivery date approached, she visited few more gynaecologists but nobody could help her much. Eventually, she had to go for an emergency delivery and gave birth to a son. The baby weighed quite less, so he was kept in neonatal intensive care unit. The baby was also born with reddish rashes which the doctors immediately suspected to be Rubella. While doing an echocardiograph the doctors found out that the baby had Patent Ductus Arteriosus (PDA), a congenital heart condition that affects blood flow in the heart. Soon the baby started developing chest infection and without further delay, Debika and her husband admitted their baby boy to CK Birla Hospitals- BMB. The baby was put under the care of expert paediatric cardiologist Dr. Subhendu Mandal at the hospital.
Dr. Subhendu Mandal who performed the surgery, says, “Patent ductus arteriosus (PDA) is not rare in babies. Every baby is born with an open Patent Ductus Arteriosus (PDA) and the ductus arteriosus closes after birth within a stipulated time. However, this baby was born with Congenital Rubella Syndrome as well, which led to the failure of closing the ductus arteriosus. It was a 6mm PDA and that was very large for this new-born who weighed only 6kg. And this couldn’t be solved without an invention or a surgery. Sparing the child from surgery, I decided to go for device closure to give the best clinical outcome with my skill. The cardiac defect was closed through intervention using an extremely advanced implant device. In Eastern India, this was one of its kind PDA intervention done on a newborn child using a device. The child has been now permanently cured of PDA and he can lead a normal life. “
Debika Biswas who had lost all her hope initially, found the will to live for her son when Dr. Mandal gave her the assurance. When most doctors and hospitals had given up on Debika’s baby, she took her biggest chance atCK Birla Hospitals- BMB. Even now she believes her son’s survival was nothing short of a miracle and said “It is still unbelievable for me that I can hold my son in my arms. When all the doctors told me my child won’t survive, it was only Dr. Mandal who made me believe that there was still a chance. My child got his second life because of him. I would also like to mention how the dedicated post-operative care given by the nursing staff boosted my son’s fast recovery. I am extremely thankful to CK Birla Hospitals BMB and Dr. Mandal for all that they have done for us.”
CK Birla Hospitals BMB has been a symbol of trust over the years and has earned the distinctive reputation of being a safe destination for cardiac treatment. The hospital has met some successful landmarks and will continue its pursuit of saving lives.
By, Dr. Subhendu Mandal, Consultant at Department of Paediatric Cardiology, CK Birla Hospitals BMB