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A premature baby from Iraq with complete heart block and heart failure given a new lease of life at Fortis, Gurugram

Doctors at Fortis Memorial Research Institute, Gurugram were presented with a rare case of 32 weeks pregnant Iraqi Patient Ms. Tara Yosuf (24-year-old) whose fetus showed major heart complications. The ultrasound done in Iraq showed huge abnormalities in the fetus. The mother underwent a fetal echocardiogram which revealed that the fetus had a complete heart block with signs of congestive heart failure. 32 weeks pregnant Ms. Yousuf flew to India in an Emergency and sought treatment at Fortis Gurugram. The case was presented before Dr. Preeti Rastogi, Additional Director, Obstetrics and Gynecology, Dr. Antony Joseph Thekkinedath, Head of Neonatal Intensive Care Unit and Dr. Udgeath Dhir, Director and Head, Cardiovascular Thoracic Surgery, FMRI who along with their teams, successfully treated the premature baby. 

An emergency C – section was done, and a baby boy was delivered with a heartbeat of only 40 beats a minute (the ideal heartbeat is 130 or 140 beats a minute) in April 2019. The baby also had immature lungs and was immediately put on ventilator support. As the baby’s heart rate was very low, it led to fluid accumulation and swelling in the body. The patient was given medicines on day 1 to increase the heart rate followed by a temporary pacemaker on the next day. This was done to stabilize the baby's heart rate.  The procedure was complicated as the baby was premature in cardiac failure and had to be anesthetized for the procedure. The challenge was of the baby coming off the ventilator without any complications. The baby responded positively to the temporary pacemaker with improvement in heart rate, cardiac functions and reduction in the generalized swelling. The baby underwent another surgery after 24 days for permanent pacemaker implantation

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