Doctors at Yashoda Hospitals, Somajiguda, have successfully treated a 10-month-old child with a complex congenital heart condition involving severe pulmonary valve stenosis (PS) and an atrial septal defect (ASD).
Led by Dr. Pankaj Vinod Jariwala, the medical team adopted a carefully planned, staged approach rather than treating both heart defects simultaneously. The case also presented an additional challenge because the child had an interrupted inferior vena cava (IVC), a rare anatomical variation.
Minimally Invasive Treatment to Relieve Valve Blockage
As the first stage of treatment, the doctors performed Percutaneous Balloon Pulmonary Valvuloplasty (PBPV), a minimally invasive procedure used to widen a narrowed pulmonary valve.
The procedure reduced the pressure on the right side of the child’s heart and improved blood flow to the lungs. By addressing the pulmonary valve obstruction first, the medical team focused on the condition that required more immediate intervention.
Planned Monitoring of the Atrial Septal Defect
The doctors decided not to close the ASD at this stage. Instead, they will monitor the defect through regular follow-ups. If the ASD remains significant, the team plans to consider device closure around the age of five, depending on the child’s condition at that time.
As per the Yashoda Hospitals press release, the staged treatment strategy allowed the medical team to address the immediate cardiac concern while keeping the ASD under careful observation for future intervention.
Doctors Highlight Importance of Individualized Care
Dr. Pankaj Vinod Jariwala, Senior Consultant Interventional Cardiologist and Structural Heart/Valve Specialist, Yashoda Hospitals, Somajiguda, said:
“When a child has more than one heart defect, we don’t rush to fix everything together. We look at what the heart needs most urgently. In this case, relieving the valve blockage came first. The ASD can wait and be treated later, when it’s the right time for the child.”
Dr. Suresh Kumar Panuganti, Lead Consultant – Pediatric Critical Care and Pediatrics, Yashoda Hospitals, Somajiguda, added:
“In congenital heart disease, timing matters as much as treatment. We treated the valve problem first. This helped stabilize the child’s heart and lowered the risk of complications. Every case needs its own plan, especially in infants.”
Child Recovering Well
The child is recovering well following the procedure. The pediatric cardiology and critical care teams will continue to monitor the child through regular follow-up visits.
The case highlights the importance of tailoring treatment to an infant’s individual heart anatomy and clinical needs. Moreover, the staged approach demonstrates how doctors can prioritize the most immediate cardiac problem while carefully planning the management of other defects for a later stage.