Device closer procedure performed to fix hole in heart

Raipur: The Advance Cardiac Institute (ACI) of Dr Bhimrao Ambedkar Memorial Hospital Raipur added another feather to its cap. The ACI doctors have performed procedures of atrial septal device closer and ventricular septal device closer to seal atrial septal defect (in-born hole in heart) in children on Monday at ACI cathlab. On Tuesday, arrhythmia was corrected through radiofrequency ablation after electrophysiology study.

All these procedures were carried out by head of department of ACI and cardiologist Dr Smit Shrivastav and cardiologist from PGI Chandigarh Dr Manoj Kumar Rohit. As many as 16 patients were treated on Monday and Tuesday under Ayushman Yojana and Smart Card. According to cardiologist Dr Smit Shrivastav, atrial septal defect (ASD) occurs with creation of a hole in the wall between the two upper chambers of heart (atria). This condition may be at birth (congenital).

But Small defects may never cause a problem and may be found incidentally. Closure devices are used for sealing an opening between the right and left sides of the heart. Some of these birth defects are located in the wall (septum) between the upper chambers (atria) of the heart. But if atrial septal defect becomes large and prolongs, it may cause damage to heart and even lungs. An adult with prolonged atrial septal defect may have a shortened life span from heart failure or high blood pressure that affects the arteries in the lungs (pulmonary hypertension). Surgery is required for repairing the atrial septal defects for prevention of complications.

Atrial septal defect signs and symptoms may include: Shortness of breath, especially when exercising, fatigue, swelling of legs, feet or abdomen, heart palpitations or skipped beats, stroke, heart murmur and a whooshing sound that can be heard through a stethoscope. ASD device closer is an umbrellashaped device which is inserted into heart hole through cathlab. The device seals the hole in the heart from both the sides. Closing hole in heart without cut or incision is an important feature of this device.

It is an intervention procedure which is performed to close the ASD by inserting a device through the blood vessels in the groin (percutaneous transcatheter approach). Radiofrequency ablation is the procedure to treat arrhythmias. It involves the insertion of catheters into a blood vessel through the groin or neck area. An electrophysiology study and the electrodes at the tip of the catheters help doctors to pinpoint the location of electrical disruption. Once the precise location is identified, the “short-circuit” is either destroyed or blocked by passing energy through the catheters. This destroys a small amount of tissue at the damaged site.

The energy may be either hot (radiofrequency energy), which cauterizes the tissue, or extremely cold, which freezes or “cryoablates” it. Patients who underwent treatment included Snigdha Tripathi from Durg, Ghanshyam Choudhary from K a b i r d h a m , Thameshwar from Bhilai, Mukesh Banjare from Mungeli, Dhananjay Sarkar from Bilaspur, Rajesh Soni from Koriya, Noorjahan from Jashpur, Daneshwari Sahu from Raipur and Krishna Kashyap from Champa.

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