For Immediate Release

Source: Health City Cayman Islands


Christina Trumbach
PR & Communication Specialist
Health City Cayman Islands
Tel. + 1 (345) 526-2203

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CAYMAN ISLANDS (January 5, 2018) - A baby from Nicaragua who was treated at Health City Cayman Islands celebrated his first Christmas as a healthy child this year. 

Addylson Jeremias Ruiz Lopez, who is now two years old, got a second chance at life early last year. He was born with a congenital condition, which caused his heart to be in his abdomen, requiring complex surgery to position it correctly in his chest cavity.

Dr. Binoy Chattuparambil, Senior Cardiothoracic and Vascular Surgeon of Health City Cayman Islands, explained that Jeremias had a condition called Pentalogy of Cantrell, an extremely rare and potentially fatal congenital disorder that exists in only 5.5 to 7.9 per million births globally. 

With only 200 cases reported worldwide, he confirmed that such cases are unheard of by many doctors. "I've seen it only once before, when I was in India and I assisted in the case," said Dr. Binoy, as he is known by patients and colleagues.

Restoring then-10-month-old Jeremias' heart to its correct position in his thoracic cavity was the first time Dr. Binoy directed a surgical team in this specific procedure. Despite its complexity, he predicted it would be a success.

"The child's heart was just under the skin," Dr. Binoy explained. "Any trauma ... actually, even if [it were] pressed hard enough, could have killed the baby. So this was a very rare anomaly."

At first, Jeremias' parents, Addylson Alberto Ruiz Martinez and Marlen Adelina Lopez Bermudez, had little hope for their child's survival. However, with the help of Have A Heart Cayman Islands, Bless Back Worldwide and Health City Cayman Islands, they received a miracle. After the six-hour surgery led by Dr. Binoy and his team, everything went according to plan and ended successfully, despite numerous surgical challenges. "We removed the outpouching of the heart and repositioned [it] into the normal location with space constraints and reconstruction of the defects of the pericardium, diaphragm, chest and abdominal wall," Dr. Binoy explained.

The procedure involved many specialists, including plastic surgeon Dr. Javier Mendoza, a pediatric cardiologist; anesthesiologists; an intensive care team; physiotherapists; and a radiologist, who carefully charted a plan for Jeremias' surgery and post-operative management.

Dr. Binoy Chattuparambil holds young Jeremias in Nicaragua shortly before Christmas 2017.

This holiday season, Jeremias and his family enjoyed their first Christmas together after his life-saving surgery. 

Many months after his surgery in March 2017, Jeremias is growing, eating well and playing with all his friends like any other child. He can now crawl, walk and run without his parents having to worry about him falling on his stomach and potentially damaging his heart.

Dr. Binoy recently traveled to Nicaragua and visited Jeremias and his family for the holidays. "This gives me all the happiness of the world, being here in Nicaragua during the holidays and being able to share their family's happiness," Dr. Binoy said.

About Health City Cayman Islands
Health City Cayman Islands, the vision of renowned heart surgeon and humanitarian Dr. Devi Shetty, is supported by Narayana Health, India's largest healthcare system. Health City, only the second hospital in the Caribbean to receive the Joint Commission International's "hospital accreditation", provides compassionate, high-quality, affordable healthcare services in a world-class, comfortable, patient-centered environment. Offering healthcare to local, regional and international patients, Health City Cayman Islands delivers excellence in adult and pediatric cardiology, cardiac surgery, cardiac electrophysiology, medical oncology, orthopedics, sports medicine, pediatric endocrinology, gastrointestinal and bariatric surgery, neurology, interventional neurology and neuro-diagnostics, neurosurgery, minimally invasive spine surgery, gynecology, urology, colorectal surgery, dental, sleep lab and pulmonology services.

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