A 16 days old 1.9 kg neonate was successfully operated for PDA ligation in presence of an ASD with large L- R shunt in CHF and chest infection on O2 mask on 13th November. His postoperative period was stormy including 5 days on ventilatory support. This high risk cardiac operation was performed at Divine Heart and Multispecialty Hospital at Lucknow by Dr. (Prof.) A. K. Srivastava, ex HOD Cardiac Surgery at SGPGIMS. Baby is discharged on 2nd December 2017. This successful operation has opened an era of Cardiac Surgery in Neonates for the first time in the State of Uttar Pradesh.

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