Md Rabbi M., 17

Rabbi Mia is a 17-year-old young man who has been experiencing weakness and getting tired easily for the past two months, making normal physical activities difficult for him. He lives with his parents, elder brother, and younger sister in a four-member family, while his father, Jakir Mia (45), is the main earner, working as a farmer on other people’s land and earning only about USD 73 per month. His elder brother has an irregular income as a mason’s helper, and the family’s limited resources are not enough to cover Rabbi’s medical treatment and daily household needs. At NICVD, Rabbi was diagnosed with severe narrowing of a heart valve, along with a small opening between the heart’s chambers, and the family learned about Helpster Charity through an NICVD volunteer and the hospital’s Deputy Director. Without timely treatment, his heart condition may worsen, causing increasing weakness, breathing difficulties, serious heart problems, and potentially life-threatening complications.

Rabbi Mia was admitted to the National Institute of Cardiovascular Diseases on 21 July 2026 with weakness, easy tiredness, and difficulty doing normal physical activities due to severe pulmonary stenosis. After necessary examinations and echocardiography, the doctors confirmed severe narrowing of his pulmonary valve along with a small ASD. On 8 August 2026, he underwent Balloon Pulmonary Valvuloplasty to improve blood flow through the narrowed valve. After the procedure, his pulmonary valvular pressure gradient decreased from 190 mmHg to 60 mmHg, showing improvement in blood flow. He is expected to gradually regain strength with proper care, regular follow-up, and continued cardiac monitoring.

Medical management followed by balloon pulmonary valvuloplasty is expected to relieve the severe pulmonary valve obstruction, reduce the pressure burden on the right side of the heart, and improve the patient’s exercise tolerance and fatigue. The treatment documented on page 2 was balloon pulmonary valvuloplasty, with follow-up echocardiography showing improvement after the procedure. With appropriate cardiac follow-up, the patient is expected to have improved functional capacity and quality of life. If left untreated, severe pulmonary stenosis may progressively strain the heart and lead to worsening symptoms, right-sided heart dysfunction, arrhythmias, and potentially life-threatening cardiac complications.