11 Stemcell Therapy

 DISCHARGE SUMMARY

 

ID No : O803051132	NAME : BABY  KAVYASHREE	DOA   : 12.11.2006
AGE   : 4 YEARS	SEX      :  FEMALE	DOD  : 20.11.2006

 

  DIAGNOSIS               :   S/p  pericardial path Closure of ASD with central fenestration + PDA                                                                

                                            Ligation + plication of anterior – posterior tricuspid valve commissure

                                           (29.04.2005)

                                            No residual ASD

                                            Grade I AML prolapse with mild MR

                                            Non Compaction of LV with LV dysfunction

 

  PROCEDURE  DONE : 

  Intra – coronary injection of peripheral blood harvested endothelial progenitor cells

 

  BRIEF HISTORY         :

 

   4 year old girl, is the only child born to non consanguineous parents with an uneventful birth history. She had history of recurrent RTI. Cardiac Cath done at FLL on 17.03.2005 showed multiple ASD’s and non compaction of ventricles with bi-ventrcular dysfunction, moderate pulmonary artery hypertension. She underwent pericardial patch closure of ASD with central fenestration + PDA ligation  +  plication of antero posterior valve commissure in April 2005.  She is on regular medical follow up for Non- compaction of LV dysfunction. Admitted now for stem cell therapy. 

 

 

   CLINICAL EXAMINATION :

   

  Height – 115 cms            Weight – 15 kgs                Satuation – 100%

  PR – 88/min                     BP – 100 /60 mm Hg        CVS –S1 S2 heard, no murmur

  RS – clear                        CNS -  NFND                    Abd - soft

 

     INVESTIGATIONS:

 

 

CXR                :    CTR –  0.6, levocardia, increased bronchovascular markings 

 

ECG                :     Normal sinus rhythm,  normal axis, LAE and  LVH with strain

 

ECHO             :    (14.11.2006) Intact IAS / IVS. Mild MR. Mild TR. (Gradient 20mmHg,non compaction of LV with compromised LV function).

 

 

                                                                                                

     

 

 

 

COURSE IN THE HOSPITAL : 

 

Kavyashree was admitted on 13.11.2006 for stem cell therapy. She was given filgrsatimn injection after admission and her WBC count increased from 11,000 to 23,000.  Bone marrow aspiration epithelial progenitor cells ( stem cells) preparation was done at SVIMS Thirupathi.   The child was taken up for stem cell injection on the same day. Coronary arteries were selectively catheterized and stem cells injected into both right and left coronary arteries. She tolerated the procedure well. She remained hemodynamically stable during the stayin the hospital and was discharged 2 days after the procedure.

 

CONDITION ON DISCHARGE :

 Patient stable

 

 

PLAN:  

Medical follow up

Review after 3 months

 

 

MEDICATIONS:

 

                         Tab. Digoxin ½ tab once daily ( 5 days in aweek) .

                         Tab. Lasix 15 mg twice daily

                         Tab. Envas 2.5 mg ½ tab twice daily

                         Tab. Carvedilol 3.125 mg twice daily

                         Tab. Metinex ¼ tab once in a week

                          Ubiq plus 1 tab once daily

 

 

 

 

 

 

 

 

                              

DR. PREM SEKAR, MRCP (PAED)

CONSULTANT PAED.CARDIOLOGIST