The yolk sac tissue develops on the third day of pregnancy which dissolves within a month. But in a strange case of a two-year-old boy Aadhi Thoppil Fabeer, the tissue developed into a cancerous tumor which had grown inside and outside the boy’s heart.
Aadhi’s condition was detected when he had fever recently. His working parents residing in Dubai since 10 years initially took him to a hospital there when he was in a critical condition with 95% blood circulation blocked by the tumor. He was in a breathless state and the doctors said that he developed the tumor in his mother’s womb.
The Dubai doctors had denied permission to travel, Aadhi’s mother, Merin Fabeer and her husband flew Aadhi to Kochi where their efforts seemed to pay.
He had to undergo a surgery where the doctors at the hospital used deep hypothermic circulatory arrest (DHCA), a surgical technique where the body temperature was reduced to 15 degrees centigrade to remove the cancerous tumor. The normal human body temperature is 37 degrees C and humans quickly die if the core body temperature drops below 22 degrees C.
During the surgery, Aadhi’s heartbeat and brain activity were stopped for 40 minutes and he was rendered clinically dead by the team of 30 doctors who operated upon him for the removal of an intracardiac yolk sac germ cell tumor in the heart.
Dr. M K Mossa Kunhi, head of the department, cardiac surgery and heart transplantation, VPS Lakeshore, who led the team that operated on the boy, said that it was the fifth successful surgery of its kind performed in the world where the tumor was reported to b located in the heart.
The condition was the rarest and rest of the tumor would be burned by Chemotherapy said the hospital’s cardiac surgeon Dr. Jose Chacko Periappuram who has performed 17 successful heart transplants so far.
He was operated on the Eid day and has been doing well since then. He is going through a chemotherapy course once in three weeks about 3 to 4 times, first, of which he received on Saturday said Dr. Kunhi.