{"id":28113,"date":"2019-06-10T17:46:19","date_gmt":"2019-06-10T09:46:19","guid":{"rendered":"http:\/\/www.namnewsnetwork.org\/?p=28113"},"modified":"2019-06-10T17:47:39","modified_gmt":"2019-06-10T09:47:39","slug":"ijn-performs-first-arterial-switch-on-conjoined-twin-baby","status":"publish","type":"post","link":"http:\/\/namnewsnetwork.org\/?p=28113","title":{"rendered":"IJN performs first arterial switch on conjoined twin baby"},"content":{"rendered":"\n<h5>By C. Vinoothene<\/h5>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img loading=\"lazy\" src=\"http:\/\/www.namnewsnetwork.org\/wp-content\/uploads\/2019\/06\/FW885738_KL19_100619_IJN_BN201906091602-lpr-1024x682.jpg\" alt=\"\" class=\"wp-image-28114\" width=\"639\" height=\"425\" srcset=\"http:\/\/namnewsnetwork.org\/wp-content\/uploads\/2019\/06\/FW885738_KL19_100619_IJN_BN201906091602-lpr-1024x682.jpg 1024w, http:\/\/namnewsnetwork.org\/wp-content\/uploads\/2019\/06\/FW885738_KL19_100619_IJN_BN201906091602-lpr-300x200.jpg 300w, http:\/\/namnewsnetwork.org\/wp-content\/uploads\/2019\/06\/FW885738_KL19_100619_IJN_BN201906091602-lpr-768x512.jpg 768w, http:\/\/namnewsnetwork.org\/wp-content\/uploads\/2019\/06\/FW885738_KL19_100619_IJN_BN201906091602-lpr-555x370.jpg 555w, http:\/\/namnewsnetwork.org\/wp-content\/uploads\/2019\/06\/FW885738_KL19_100619_IJN_BN201906091602-lpr-600x400.jpg 600w, http:\/\/namnewsnetwork.org\/wp-content\/uploads\/2019\/06\/FW885738_KL19_100619_IJN_BN201906091602-lpr.jpg 1280w\" sizes=\"(max-width: 639px) 100vw, 639px\" \/><figcaption>KUALA LUMPUR, June 10 &#8212; Cardiothoracic Surgeon Consultant of National Heart Institute (IJN) Dr Sivakumar Sivalingam (middle) during a media briefing on the successful treatment of congenital heart defect on a separated conjoined twin Aleesa Hana on 16th May 2019. Also present are IJN Paediatric and Congenital Heart Centre Head Of Department Dr Hasri Samion (left) and IJN Paediatric Cardiologist (Intensive) Consultant Dr Khairul Faizah Mohd Khalid (right). Photo courtesy of BERNAMA<\/figcaption><\/figure>\n\n\n\n<p>KUALA&nbsp; LUMPUR, June 10&nbsp;(NNN-BERNAMA) &#8212; Malaysia&#8217;s National Heart Institute (IJN)&nbsp;has created yet another milestone in a heart related procedure when it&nbsp;successfully performed&nbsp;the first arterial switch surgery&nbsp;on one of the two conjoined-twins who were successfully separated in March.<\/p>\n\n\n\n<p>IJN\u2019s Head of Department, Paediatric and Congenital Heart Centre, Dr&nbsp;Hasri Samion&nbsp;said&nbsp;Aleesha Hana and her healthier conjoined twin sister&nbsp;Aleeya Hana were born on Feb 19 this year in Sabah with Aleesha diagnosed&nbsp;with&nbsp;Transposition of the Great Arteries (TGA) two weeks later.<\/p>\n\n\n\n<p>TGA is a condition where the aorta is connected to the right ventricle&nbsp;and the pulmonary artery is connected to the left ventricle causing oxygenated and deoxygenated blood to mix and hence the lungs and the body do not receive sufficient oxygen.<\/p>\n\n\n\n<p>Dr Hasri noted it&nbsp;was a challenging surgery as it involved&nbsp;multiple stages of operation and a big team from various locations to ensure Aleesha\u2019s survival, beginning with their&nbsp;separation conducted at&nbsp;the Likas Hospital in Sabah.<\/p>\n\n\n\n<p>\u201cOne of the challenges was that&nbsp;we could not&nbsp;perform the surgery immediately as Aleesha was still joined with her healthy sister. So to proceed with the surgery, the pediatric team of Hospital Likas along with the pediatric surgeons from Hospital Kuala Lumpur (HKL)&nbsp;performed the separation surgery that took about two weeks before they were successfully separated,\u2019\u2019 he said at a press conference at IJN here, today.<\/p>\n\n\n\n<p>He also said this caused a delay which put the baby for the heart surgery&nbsp;at&nbsp;risk.<\/p>\n\n\n\n<p>\u201cShe was transferred to IJN when she was three&nbsp;months old for the surgical correction of her heart defect, when in fact it could have been&nbsp;done when she was one&nbsp;month old,\u2019\u2019 he said pointing to the conjoined birth that delayed the procedure.<\/p>\n\n\n\n<p>Dr. Hasri said that this milestone wouldn\u2019t be possible without the advanced communication technology which alerted the team on the baby\u2019s condition when&nbsp;she was born.<\/p>\n\n\n\n<p>Meanwhile, Dr&nbsp;Siva Kumar Sivalingam&nbsp;the consultant cardiothoracic surgeon who conducted the surgery&nbsp;explained that Aleesha&nbsp;underwent multiple&nbsp;emergency procedures during her separation and it took even more time for the healing process.<\/p>\n\n\n\n<p>\u201cThe baby was also found to have a weak lung and was infected before the surgery. After stabilising her, she underwent the four-hour corrective operation on May 16,\u201d he said adding that&nbsp;her chest was kept open for 5 days before successfully closing the chest.<\/p>\n\n\n\n<p>She was very swollen and hence underwent&nbsp;peritoneal dialysis. She was also&nbsp;gradually weaned off the ventilator and&nbsp;is now on nasal oxygen support.<\/p>\n\n\n\n<p>Aleesha will be transferred back to&nbsp;Sabah by tomorrow and her mother has nothing but&nbsp;praises&nbsp;for&nbsp;IJN and its doctors who did a great&nbsp;job saving her daughter.<\/p>\n\n\n\n<p>&#8211;NNN-BERNAMA<\/p>\n","protected":false},"excerpt":{"rendered":"<p>By C. Vinoothene KUALA&nbsp; LUMPUR, June 10&nbsp;(NNN-BERNAMA) &#8212; Malaysia&#8217;s National Heart Institute (IJN)&nbsp;has created yet another milestone in a heart related procedure when it&nbsp;successfully performed&nbsp;the first arterial switch surgery&nbsp;on one of the two conjoined-twins who were successfully separated in March. IJN\u2019s Head of Department, Paediatric and Congenital Heart Centre, Dr&nbsp;Hasri Samion&nbsp;said&nbsp;Aleesha Hana and her healthier [&hellip;]<\/p>\n","protected":false},"author":19,"featured_media":28114,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[288,269],"tags":[],"_links":{"self":[{"href":"http:\/\/namnewsnetwork.org\/index.php?rest_route=\/wp\/v2\/posts\/28113"}],"collection":[{"href":"http:\/\/namnewsnetwork.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/namnewsnetwork.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/namnewsnetwork.org\/index.php?rest_route=\/wp\/v2\/users\/19"}],"replies":[{"embeddable":true,"href":"http:\/\/namnewsnetwork.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=28113"}],"version-history":[{"count":0,"href":"http:\/\/namnewsnetwork.org\/index.php?rest_route=\/wp\/v2\/posts\/28113\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/namnewsnetwork.org\/index.php?rest_route=\/wp\/v2\/media\/28114"}],"wp:attachment":[{"href":"http:\/\/namnewsnetwork.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28113"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/namnewsnetwork.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28113"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/namnewsnetwork.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28113"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}