29/10/2025
, Cath lab BSH
29.10.25-
One challenging case of tubular PDA with severe PAH, closed in balloon assisted technique, another PDA device closure, four ASD device closure, one AS balloon valvuloplasty.
one CoA postponed for next day
1. Fatema Jannat
- Age: 6 months | Gender: Female | Weight: 6 kg | Hb%: 10.3 g/dL
- History: Recent pneumonia 1 week ago (required hospital admission)-now improved, repeated RTI.
- Diagnosis: Large PDA (2.8 mm), Large ASD (11mm)
- Procedure: PDA device closure, Device size: 6/4 .
2. Raisa
- Age: 6 months | Gender: Female | Weight: 4 kg | Hb%: 9.8 g/dL.
- History: SOB, Repeated RTI since birth, Reluctant to feed, H/o pneumonia
- Diagnosis: Large PDA (5.2 mm), Small ASD (1.3mm) severe PAH. PDA is tubular 6 mm in diameter in aortogram
- Procedure: PDA device closure performed with balloon assisted technique. Aortic end of disc compressed with balloon to minimise risk of mechanical obstruction. Disc took flat shape after balloon inflation . No Coarctation noticed.
3. Azmain Islam
- Age: 2.8 years | Gender: Male | Weight: 18 kg | Hb%: 14.2 g/dL
- History: Repeated RTI, vomiting after feed, exertional dyspnoea, S/P pyloromyotomy due to CHPS (19/3/23)
- Diagnosis: Large ASD (10 mm). I-9, S-11, IAS-32mm. Mild PS-18mmHg
- Procedure: ASD device closure, Device size: 18
4. Suraiya
- Age: 5.10Y | Gender: Female | Weight: 16 kg | Hb%: 12.6 g/dL
- History: Repeated RTI, H/o pneumonia, palpitation, reluctant to feed.
- Diagnosis: Large ASD (8 mm). I-9, S-9, IAS-28mm
- Procedure: ASD device closure, Device size: 12.
5. Neamot
- Age: 7Y | Gender: Male | Weight: 28 kg | Hb%: 14 g/dL
- History: Exertional dyspnea, palpitation, repeated RTI
- Diagnosis: AS-70mmHg, AV annulus 14mm, Mild LPA stenosis.
- Procedure: BVP for AS done, Balloon size: 16x5. Whole procedure performed under TPM coverage.
6. Ruhid Sardar
- Age: 10 years | Gender: Male | Weight: 28 kg | Hb%: 11.5 g/dL
- History: Incidental diagnosis 2weeks ago, exertional dyspnea Nasal polyp
- Diagnosis: Large ASD (8 mm). I-10, S-10, IAS-40mm
- Procedure: ASD device closure. Device size: 22 mm
7. Shuahib Ahmed
- Age: 13years | Gender: Male | Weight: 23 kg | Hb%: 11.5 g/dL
- History: exertional dyspnea, palpitation, repeated RTI
- Diagnosis: Large ASD (10-11 mm), I-10, S-10, IAS-40mm.
- Procedure: ASD device closure. Device size: 20 mm device