Fortis Malar performs First-of-its-Kind transplant to save live
Fortis Malar performs First-of-its-Kind transplant of Adult Hearts in Infant Cavity to save lives of Two children
* 8 years old Master Roman from Russia and 12 years old Ms Sri Supriya from Tamil Nadu were saved after a clinical breakthrough to place adult hearts into infant cavities
* First cases of adult to child heart transplant recorded in India as Fortis Malar joins rank among top hospitals in the world to successfully perform this clinical feat
Chennai, 20thMarch, 2018: A team of doctors at Fortis Malar Hospital recently conducted two complicated heart transplant surgeries by placing adult hearts into the heart cavity of children to save two lives here recently. 8 years old Master Roman and 12 years old Ms Sri Supriya were suffering from life threatening heart conditions that required urgent heart transplants. However, due to paucity of hearts of their age and size, the team of doctors led by Dr KR Balakrishnan, Director, Cardiac Sciences, Fortis Malar Hospital and Dr Suresh Rao KG, Head of the Department, Critical Care and Cardiac Anaesthesia, Fortis Malar Hospital meticulously planned and performed this unique clinical feat to transplant two adult hearts into the cavity of these two children respectively.
“With the availability of new technology – Extra-Corporeal Cardiopulmonary Resuscitation (ECPR), using a new portable heart lung machine which can be carried even to remote locations, it is possible to make patients live even after prolonged cardiac arrest.” said Dr KR Balakrishnan. “I strongly feel that ECPR facilities should be made available in all leading hospitals so that young victims of cardiac arrest following a massive attack get another chance to live”
The first heart transplant was performed on Master Roman, an 8-year-old boy from Russia who was admitted on 13th October 2017 at the hospital with prognosis of heart failure. Roman’s condition deteriorated with severe biventricular restrictive cardiomyopathy, a disease of heart muscle restricting flow of blood into the ventricles and his condition became more complicated when he had a cardiac arrest. After 45minutes of Cardiopulmonary Resuscitation (CPR), he was finally put on an Extracorporeal Membrane Oxygenation (ECMO), an advanced cardiac and respiratory life support system.
On the condition of the patient, Dr K R Balakrishnan said, “When Roman was brought into our hospital, he was in a critical condition. A heart transplant was the only way to cure him. We had to resort to ECPR to save his life until a heart was available for transplant. However, given the severity of his condition, we decided to do the transplant as soon as we can.”
A heart was made available on 17th January 2018, when the donor met with a road accident and was declared brain dead. After careful planning, the team of doctors decided to go ahead and perform the unique heart transplant to implant an adult’s heart into an 8-year old’s cavity. The surgery was successfully performed as Roman responded to the treatment and his new heart started pumping blood on its own.
On this unique clinical feat, Dr Balakrishnan further added, “It gives us immense pleasure that the 8-year-old patient responded to the adult heart. We are really humbled to acknowledge that it is one of those rarest surgeries that has paved the way for a completely new beginning in the treatment of paediatric cardiac patients requiring heart transplants.”
Commenting on this, Dr. Suresh Rao K G, Head, Cardiac Anaesthesia and Critical Care, Fortis Malar Hospital, Chennai said, “ This is the first instance in the world of any patient recovering from 3 episodes of prolonged cardiac arrest resuscitated with ECMO 3 times . It is rare to match an adult's heart to a paediatric patient. We faced quite a few challenges i