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Royal Care Hospital Performs Landmark Pediatric Heart Transplant

In a remarkable medical breakthrough, the transplant team at Royal Care Hospital has successfully saved the life of a six-year-old boy who was suffering from severe heart failure caused by a viral infection.

The child, referred from a private hospital, arrived in a critical condition—on ventilator support and dependent on multiple life-saving medications.

With no other treatment options available, the medical team determined that a heart transplant was the only viable chance for survival.

While awaiting a suitable donor, the child’s condition deteriorated further, prompting doctors to place him on ECMO (Extracorporeal Membrane Oxygenation), a system that temporarily takes over the function of both the heart and lungs. Though ECMO is lifesaving, prolonged support carries significant risk.

After nearly three weeks, a donor heart became available—a 30-year-old adult heart nearly five times larger than the child’s own. Despite initial dysfunction caused by brain-death–related changes, the transplant team proceeded with the complex surgery.

Post-transplant, the child remained on ECMO for an additional 15 days to allow the new heart to recover and adapt.

Following almost three months of intensive medical care, the boy has made a remarkable recovery and is now preparing for discharge.

Dr. K. Madeswaran, Chairman and Managing Director of Royal Care Hospital, congratulated the medical team including Dr. Pradeep, Consultant – Heart & Lung Transplantation and Mechanical Circulation; Dr. Kirubanand, Consultant – Cardiac Anaesthesia; Dr. Sivakumar, Head – Institute of Critical Care Medicine; along with the paramedical and administrative staff for their dedicated and humanitarian service.

He noted that this achievement marks a significant milestone in pediatric cardiac care and reflects the exceptional expertise of the hospital’s transplant and critical care units.

Royal Care Hospital regularly performs successful Heart, Lung, Liver and Kidney transplantations and continues to be one of the leading referral centers for complex transplant procedures.

Dr. K. Madeswaran further highlighted that Royal Care Super Speciality Hospital is accredited by Joint Commission International (JCI), Commission on Accreditation of Rehabilitation Facilities (CARF), Surgical Review Corporation (USA), and the National Accreditation Board for Hospitals & Healthcare Providers (NABH), underscoring its commitment to world-class healthcare standards.

This extraordinary success story brings new hope to children and families facing end-stage heart failure.


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