Selected case studies and outcomes from Dr. Gaurav Agrawal’s pediatric cardiology practice. Each card shows a brief case summary — click an image to view it full size.
BALLOON AORTIC VALVULOPLASTY
- Happy to share about this patient who was 5 months old and was having severe aortic valve stenosis due to a bicuspid aortic valve.
- Child underwent Balloon Aortic Valvuloplasty (BAV) in July 2024.
- On follow-up the mean gradient across the aortic valve is just 18 mm Hg (pre-balloon mean gradient was 45 mm Hg) and there were no complications.
DILATED CARDIOMYOPATHY
- 2 year old child who was having very severe heart failure with heart pumping of only 15% (EF).
- Getting irritated and now heart pumping is almost fully recovered.
- Diagnosis: Dilated Cardiomyopathy (DCMP).
PDA DEVICE CLOSURE
- A child from Delhi underwent successful PDA device closure with no complications.
- Discharged the same day after an overnight observation.
PDA DEVICE CLOSURE
- A 2-year-old child underwent successful PDA device closure via femoral access.
- No residual shunt on follow-up echocardiography.
PDA DEVICE CLOSURE
- Patent ductus arteriosus closed by transcatheter device in a 3-year-old child.
- Excellent angiographic and echocardiographic result.
PDA SURGICAL CLOSURE
- A young child with a large PDA underwent successful surgical ligation.
- Uneventful post-operative course.
Aarav — ASD Device Closure
- Aarav, a 6-year-old child from Delhi, underwent successful transcatheter ASD device closure.
- No residual shunt; discharged within 24 hours.
Kriti — Dilated Cardiomyopathy
- Kriti, a young child with dilated cardiomyopathy, showed significant recovery of left-ventricular function after optimised medical therapy.
Sukhmani — PDA Device Closure
- Sukhmani underwent successful PDA device closure as a day-care procedure.
- Excellent post-procedure recovery.
Utkarsh — PDA Device Closure
- Utkarsh, an infant, had successful transcatheter PDA closure with full resolution of symptoms.
Atrial Septal Defect (ASD) Surgical Closure
- Both Delhi kids underwent ASD surgical closure by open heart surgery.
- Smooth post-operative recovery.
Balloon Dilatation of Coarctation of Aorta
- A child with native coarctation of aorta underwent successful balloon dilatation.
- Resolution of upper-body hypertension on follow-up.
PDA DEVICE CLOSURE
- 15 months old female child from Dehradun city (Uttarakhand) came for PDA device closure.
- Successful day-care procedure; baby discharged the next morning.
TETRALOGY OF FALLOT (TOF) REPAIR
- An extremely sick child from Nepal underwent successful TOF surgical repair.
- Significant improvement in oxygen saturation and exercise tolerance after surgery.
ASD SURGICAL CLOSURE
- A child with a large ASD and right-heart dilatation underwent successful surgical closure.
5 years old child underwent “AP Window Surgery”
- 5-year-old child with an aorto-pulmonary window underwent successful surgical closure.
- Excellent post-operative recovery.
“PDA device closure” of a one year old child
- 1-year-old child underwent successful transcatheter PDA closure with a single device.
PDA Closure at 5 years of age, follow-up since 6 months
- Child has been in follow-up since 6 months of age with a small PDA.
- Underwent successful device closure at 5 years of age.
“VSD device closure” of an Iraqi child
- International patient: Iraqi child with a perimembranous VSD underwent successful transcatheter device closure.
“PDA device closure” of a 6 months old child
- 6-month-old infant with large PDA and failure to thrive underwent successful device closure.
- Caught up on growth at the 3-month follow-up.
Re-do Surgery for RV-PA conduit replacement
- An international child came with a history of shortness of breath on exertion.
- Child had undergone TOF repair with RV-PA conduit replacement at 1 year of age.
- Now presented with a severely stenosed conduit.
- Underwent successful replacement of the RV-PA conduit.
- Courtesy: Dr Ramji Mehrotra, MS, MCh, Cardiac Surgeon.
Mesmerising experience with this child
- An especially memorable case — a child who showed remarkable recovery after a complex catheter-based intervention.
“PDA device closure” on an 11 months old child
- 11-month-old child underwent successful transcatheter PDA closure.
- Smooth recovery and excellent angiographic result.