Recent Advancement in Non-surgical Interventional Treatment in Congenital Heart Disease at National Institute of Cardiovascular Disease (NICVD)-a Tertiary Care Hospital of Bangladesh

Authors

  • ABMA Salam Department of Pediatric Cardiology,NICVD, Dhaka
  • AMA Kamali Department of Pediatrics & Pediatric Cardiology. Dubai Govt. Health center, Dubai
  • KA Hasan Department of Pediatric Cardiac Surgery, NICVD, Dhaka
  • H Ataul Department of Pediatric Cardiology,NICVD, Dhaka
  • M Selim Department of Pediatric Cardiology,NICVD, Dhaka
  • H Shariar Department of Pediatric Cardiology,NICVD, Dhaka
  • N Somayra Department of Pediatric Cardiology,NICVD, Dhaka
  • H Zahidul Department of Pediatric Cardiology,NICVD, Dhaka
  • MK Hassan Department of Pediatric Cardiology,NICVD, Dhaka
  • SA Mita Department of Pediatric Cardiology,NICVD, Dhaka
  • Dr Rezaul Department of Pediatric Cardiology,NICVD, Dhaka
  • ABM Habibullah Department of Pediatric Cardiology,NICVD, Dhaka
  • SA Razzaque Department of Pediatric Cardiology,NICVD, Dhaka
  • NU Zakia Department of Pediatric Cardiology,NICVD, Dhaka
  • MF Islam Department of Pediatrics & Pediatric Cardiology. Dubai Govt. Health center, Dubai
  • B Ananya Department of Pediatric Cardiology,NICVD, Dhaka
  • KA Syfullah Department of Pediatric Cardiology,NICVD, Dhaka
  • AK Beg Department of Anesthesiology. NICVD, Dhaka
  • M Rahman Department of Anesthesiology. NICVD, Dhaka
  • R Shahnaz Department of Anesthesiology. NICVD, Dhaka
  • M Marjan Department of Anesthesiology. NICVD, Dhaka
  • KK Karmakar Department of Anesthesiology. NICVD, Dhaka
  • M Alauddin Department of Anesthesiology. NICVD, Dhaka
  • MK Lutful Department of Anesthesiology. NICVD, Dhaka
  • AM Soufi Department of Anesthesiology. NICVD, Dhaka
  • M Ullah Department of Cardiology, NICVD, Dhaka
  • M Ali Department of Cardiology, NICVD, Dhaka
  • AAS Majumder Department of Cardiology, NICVD, Dhaka

DOI:

https://doi.org/10.3329/cardio.v6i2.18354

Keywords:

Congenital heart disease, Device closure, ASD, VSD, PDA, PTMC

Abstract

Background: Treatment of Congenital Heart Disease (CHD) is either Surgical or Interventional. Medical management is mainly symptomatic / palliative. Although surgery is the main mode of treatment but in the recent past non-surgical Interventional method is replacing it because of its multiple advantages over surgical procedures. Since 2005, we started our journey in National Institute of Cardiovascular Diseases with a PDA device closure. In this article we tried to review the success rate of the interventional procedures in this hospital.

Methods: The aim of this retrospective study is to review the short term & Intermediate outcome of the non surgical interventional treatment of congenital heart diseases. We included all the interventional rocedures done in this Institute since 2005 upto December 2013.

Results: During this period, we performed total 150 cases of patent ductus arteriosus (PDA) device, 20 cases of PDA Coil closure, 60 cases of atrial septal defect (ASD) device, 90 cases of Balloon Pulmonary Valvuloplasty (BPV), 20 cases of Balloon Aortic Valvuloplasty (BAV), 22 cases of Coarctation Balloon Angioplasty, 35 cases of Mitral Valvuloplasty (PTMC), 15 cases of Balloon Atrial Septostomy. Almost all of our intervention procedures were successful except one case of mortality related to procedure of PDA device closure, 4 device embolization (2 ASD & 2 PDA) and one case of PDA coil with persistent Intravascular hemolysis. All the embolized devices were subsequently retrieved surgically with repair. All other patients of interventional treatment are enjoying new life without any morbidity.

Conclusion: Thus, we concluded that interventional methods of suitably selected case of congenital heart disease may be an alternative lucrative safe & effective option of remedy for many of the congenital heart diseases.

DOI: http://dx.doi.org/10.3329/cardio.v6i2.18354

Cardiovasc. j. 2014; 6(2): 133-142

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Published

2014-03-15

How to Cite

Salam, A., Kamali, A., Hasan, K., Ataul, H., Selim, M., Shariar, H., Somayra, N., Zahidul, H., Hassan, M., Mita, S., Rezaul, D., Habibullah, A., Razzaque, S., Zakia, N., Islam, M., Ananya, B., Syfullah, K., Beg, A., Rahman, M., Shahnaz, R., Marjan, M., Karmakar, K., Alauddin, M., Lutful, M., Soufi, A., Ullah, M., Ali, M., & Majumder, A. (2014). Recent Advancement in Non-surgical Interventional Treatment in Congenital Heart Disease at National Institute of Cardiovascular Disease (NICVD)-a Tertiary Care Hospital of Bangladesh. Cardiovascular Journal, 6(2), 133–142. https://doi.org/10.3329/cardio.v6i2.18354

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Original Articles