Rastelli Treatment in India

Introduction

The Rastelli procedure, named after its creator, Dr. Cesar A. Rastelli, is a highly sophisticated cardiac surgery designed to treat complex congenital heart defects. This intricate surgical technique involves redirecting blood flow within the heart to address abnormalities in the structure and function of the heart's chambers and great vessels. The Rastelli procedure has revolutionized the field of pediatric cardiology, offering hope and a new lease on life for children born with critical heart conditions.

About the Rastelli Procedure

The Rastelli procedure is primarily performed on pediatric patients with congenital heart defects like Tetralogy of Fallot with pulmonary atresia or double outlet right ventricle with subpulmonary ventricular septal defect and pulmonary stenosis. In these cases, the procedure is instrumental in rerouting blood flow to ensure proper oxygenation and circulation, thereby alleviating symptoms and enhancing the child's overall cardiac function.

Symptoms of Congenital Heart Defects Requiring Rastelli Procedure

Symptoms of the heart defects that necessitate the Rastelli procedure can vary depending on the specific condition but may include:

1. Cyanosis (bluish discoloration of skin and lips)

2. Difficulty in breathing

3. Rapid breathing or shortness of breath

4. Poor feeding and growth in infants

5. Heart murmurs

6. Clubbing of fingers and toes

7. Fatigue and limited physical stamina

Causes of Congenital Heart Defects

The precise causes of congenital heart defects are often multifactorial and not entirely understood. Some contributing factors may include genetic abnormalities, maternal illnesses or medications during pregnancy, environmental factors, and certain chromosomal disorders. However, in many cases, the exact cause remains unknown.

Diagnosis of Congenital Heart Defects and Eligibility for Rastelli Procedure

Diagnosing congenital heart defects typically involves a combination of methods, including prenatal ultrasound, echocardiography, X-rays, MRI, and CT scans. If a child is diagnosed with complex heart defects that affect the blood flow and oxygenation, they might be considered eligible candidates for the Rastelli procedure.

Treatment

The Rastelli procedure is a major surgical intervention that requires a skilled and experienced cardiac surgeon. During the procedure, the surgeon redirects the blood flow, closes or patches the abnormal connections between the heart chambers, and may use artificial conduits to improve blood flow. The goal is to create a more functional circulation pattern that allows oxygenated blood to be properly distributed throughout the body.

Procedure Cost in India

The cost of the Rastelli procedure in India can vary depending on factors such as the hospital, the surgeon's experience, the patient's overall health condition, and any complications that may arise during the surgery. As of 2021, the approximate cost of the Rastelli procedure in India ranged from USD 6,100 to USD 18,000.

Conclusion

The Rastelli procedure stands as a remarkable advancement in cardiac surgery, offering hope and healing to young patients with complex congenital heart defects. With skilled surgical teams and advanced medical facilities, India provides a feasible and cost-effective option for families seeking the life-saving Rastelli procedure for their children.

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