In an experiment that is the first of its kind in university hospitals, and in Egypt and the Middle East, the pulmonary valve is implanted by catheter and without opening for children with congenital heart defects. Today, Abu El-Rish University Hospital performed the first pulmonary valve transplantation through catheterization for a 10-year-old child. He was suffering from tetralogy of Fallot, through a specialized medical team and with the participation of the Italian expert Mario Carmenati, Head of the Department of Pediatric Cardiology and Catheterization at the Poly Clinic in San Donato, Italy.
Dr. Hala Agha, Professor and Head of the Pediatric Cardiology Department at Abu Al-Rish University Hospital, revealed, in an exclusive statement to “The Seventh Day”, that a number of foreign experts visited Abu Al-Rish University Hospital to perform the first pulmonary valve transplant through catheterization for children, which is being done for the first time. In Egypt and the Middle East, as a result of a rare birth defect called tetralogy of Fallot.
She said: Today, the pulmonary valve was implanted through a catheter, which is the first of its kind in university hospitals, explaining that this surgery is important in that it avoids the patient performing an open-heart operation, which costs about 350 thousand pounds, through donations, adding that the child’s parents cannot bear Any cost, explaining that despite the expensive price of the operation, it has great advantages so that the child is not exposed to open heart surgery.
He added that the catheterization was attended by Professor Mario Carmenati, an expert and head of the Department of Pediatric Cardiology and Catheterization at the Poly Clinic in San Donato, Italy, who helps the medical team in implanting the pulmonary valve, and trains young doctors at Abu Al-Rish Japanese Hospital through a two-day workshop.
For his part, Dr. Mario Carmenati added Expert and Head of the Department of Pediatric Cardiology and Catheterization at the Poly Clinic Hospital in San Donato, Italy, it is important to perform aortic valve transplants through the catheter, as the sick child avoids a long stay in the hospital, does not need blood transfusion, avoids open heart surgery, and does not need to make a large opening In the chest as a result of the surgery, the child is discharged after 48 hours and takes only anticoagulant medication.
And she continued that the congenital defect of the tetralogy of Fallot is mainly treated through surgery, and after surgery, it is through the catheter to close the hole and expand the right ventricular course, explaining that once the valve weakens and does not perform its function, whether the patient is exposed to the two approaches and lack of effort, the catheter room must be entered to implant the pulmonary valve, Noting that there are 7 children who have been prepared for valve implantation, and 3 others are using a new type of stent that enters for the first time in Egypt, which is a stent loaded with a balloon, as Professor Mario brought it with him as a gift from him to Abu Al-Rish University Hospital.
For her part, Dr. Sahar Shaker, Professor of Pediatric Cardiology at Abu Al-Rish Japanese Hospital, said that today we will conduct a rare case for a 7-year-old child who suffers from narrowing of the aorta, stressing that this case is one of the rare cases, as it constitutes about 1 to 2% of cases of birth defects. It poses a high degree of danger and difficulty, as the narrowing represents 1.7 mm in the artery, explaining that the arteries in children are weak, and modern techniques are used to try to expand the aorta, because the child suffers from two approaches, headache, high blood pressure, and the blood pressure differs from the upper part from the lower part.
She pointed out that we did multi-sectional x-rays, and foreign experts brought a type of catheter to be entered for the first time in Egypt, because the surgery has risks, as the child may be exposed to bleeding and may lead to death.
On her part, Dr. Aya Fattouh, Professor of Pediatric Cardiology at Cairo University, said: And the director of the cardiac catheterization unit at Abu Al-Rish Japanese Hospital, we have two fully equipped units, and there is a third room that is currently being prepared, and all these devices are being prepared through donations so that we have the largest specialized catheterization suite for the heart of children in all of Egypt and the Middle East, where there is no place in Egypt with it These capabilities, explaining that the catheterization device is not a single device, but rather all the devices attached to it, such as the ultrasound device, which is one of the latest devices in this field, and electrocardiography of the heart, all of which are special needs for children, which distinguishes children’s heart unit from the first day they are born until they reach the age of 18 years And all the possibilities available to treat children’s heart disease
She pointed out that the catheterization in children, most of it was diagnostic, but it has now become curative to treat defects to widen narrow valves, or close the holes, and today we are doing a bigger job, which is implanting the pulmonary valve through the catheter, for the first time in Egypt and the Middle East for children who suffer from severe heart problems and defects. The complexity and the child avoids having an open heart operation and remains in care for a long time, but he does it and then returns to his home within 48 hours, the rate of complications is less, explaining that the catheter is based on donations because the consumables are very expensive and they are used only once,