Brahmananda Narayana Multispeciality Hospital exemplifies
its expertise in Paediatric Cardiology
 Identifies congenital birth defect in a 15 year old girl being the first in
Jharkhand
 Uses Jugular vein from the neck to perform the cardiac procedure instead of
the usual method
Jamshedpur, October 17, 2014: A team of paediatric cardiologists at Brahmananda Narayana
Multispeciality Hospital successfully performed a unique cardiac procedure on a 15-year-old girl
who suffered from Patent Ductus Arteriosus (PDA), an extremely rare case - found only in 1
amongst 10 lakh children. She was the first patient in Eastern India to be treated for such a rare
form of congenital disorder of the heart. Brahmananda Narayana Multispeciality Hospital is the
only center in Jamshedpur to have expertise in paediatric cardiology speciality, with a team of
experts treating children born with heart defects. The hospital now has a full-time paediatric
cardiologist also available.
Jyotsna, the young patient from Ghatsila, Jharkhand was brought to Brahmananda Narayana
Multispeciality Hospital, with severe symptoms of recurrent cough, cold and was not gaining
weight. Investigations revealed that that she was suffering from Patent Ductus Arteriosus
(PDA), a congenital disorder of the heart where a normal blood vessel that connects two major
arteries supplying blood from the heart to the developing foetus, fails to close after birth. This
is a normal foetal blood vessel in all babies that closes soon after birth. But, in this case it had
not closed.
Speaking on PDAs, Dr Pankaj Kumar Gupta, Consultant Paediatric Cardiologist said “Patent
Ductus Arteriosus, is a highly rare condition which makes timely diagnosis a big challenge. Early
symptoms are uncommon, but during the first year of life, there is difficulty in breathing and
poor weight gain. PDA is common in patients with persistent respiratory problems such as
hypoxia, and has a high occurrence in premature children. With age, PDA if untreated may lead
to heart failure.”
Talking about the case, Dr Amitabha Chattopadhyay Senior Consultant-Interventional
Paediatric Cardiologist said “This is one of the most unique cases we have had, and also this
procedure is the first that is done not only in the state of Jharkhand, but in East India. Through
continuous follow ups and medication, she is doing very well and
is resuming her normal life. She cancontinue her studies and do everything just like any other
normal adolescent.”
Jyotsna’s case of PDA was treated through a very unique procedure termed as - PDA device
closure through the Jugular vein in the neck. Usually, the procedure involves the PDA getting
closed by using a device which is made up of a wire (Nickel and Titanium alloy), usually
imported from America. This involves the device being introduced through the vein of the leg.
With the help of delivery cables and catheters, the device is carried to the heart and after
complete occlusion it is released, which then closes the blood vessel.
In Jyotsna’s case, it was found that both the leg veins were abnormal. The procedure could not
be done through the normal way i.e., from the leg veins. The alternatives were either surgical
closure or the device to be delivered through the neck veins or through the aorta. Due to the
large PDA, the aortic route was unsuccessful leaving to deliver the device through the Jugular
vein in the neck as the only option. The method is very challenging and needs highly skilled
expertise in cardiac procedures to perform. The procedure was successful, being the first in the
state of Jharkhand. Two days later, the girl was discharged in a stable condition.
About Narayana Health:
About Narayana Health, one among India’s largest healthcare service providers and also one of the world’s most
economical, is set to emerge as a global industry model for its ability to reconcile quality, affordability, scale,
transparency, credibility and profitability. With all super-speciality tertiary care facilities that the medical world
offers, it is now a one-stop healthcare destination for all.
From a humble beginning of a 225 bed hospital in 2001, Narayana Health group of hospitals has grown to become
a 6900 beds healthcare conglomerate with 26 hospitals across 16 cities in India and a hospital in the Caribbean at
Grand Cayman, North America.
About Brahmananda Narayana Multispeciality Hospital, Jamshedpur
Brahmananda Narayana Multispeciality Hospital, Jamshedpur, is a hospital set-up by the Narayana Health Group in
association with Brahmanand Sewa Sadan, a charitable trust based in Jamshedpur, Jharkhand. The 200-bed superspeciality hospital is one-of-its kind hospital in Jamshedpur with high-end infrastructure and expertise catering to
over 30 specialities. The hospital has one of the largest Dialysis units in Bihar and Jharkhand with 11 dialysis beds.
The hospital has multiple operating theatres of which two are state-of-the-art for cardiac procedures and the three
general operating theatres.