KNH performs Kenya’s first-ever neonatal balloon thoracic valvuloplasty

This minimally invasive heart procedure marks a transformative moment for neonatal cardiac care across the country.

KENYA—Kenyatta National Hospital has achieved a groundbreaking medical milestone by performing Kenya’s first balloon pulmonary valvuloplasty on a premature newborn.

This minimally invasive heart procedure marks a transformative moment for neonatal cardiac care across the country.

The procedure addresses critical pulmonary valve stenosis by opening a narrowed heart valve.

Doctors insert a catheter through a blood vessel and guide it directly to the heart, where they inflate a balloon to widen the valve and restore proper blood flow to the lungs.

Emergency delivery reveals critical heart condition

On January 2, 2026, Ms. Josephine Pilanoi from Kimana, Kajiado County, delivered premature twins at 34 weeks through an emergency Caesarean section at KNH.

Twin A, weighing 2.26 kg, faced immediate complications, while Twin B remained stable.

Shortly after birth, Twin A developed severe breathing difficulties and required immediate oxygen support.

Medical staff detected an abnormal heart sound during routine assessment, prompting further investigation.

An echocardiogram revealed the baby’s pulmonary valve had narrowed severely, placing dangerous strain on the heart and restricting oxygen supply throughout the body.

Multidisciplinary team performs life-saving surgery

KNH’s multidisciplinary team moved quickly to address the critical condition.

They recommended an urgent procedure to open the narrowed valve and restore normal blood flow to the infant’s lungs.

On February 5, 2026, the medical team successfully performed the procedure over approximately 90 minutes.

Dr. Esther Kimani and Dr. Naomi Gachara, both consultant pediatric cardiologists, led the operation alongside Dr. Tatiana Mutinda, a pediatric cardiology fellow.

The anaesthesia team, headed by Dr. Mbithe and Dr. Kimtai, ensured the delicate procedure proceeded safely.

Mr. Erick Otieno coordinated nursing services with support from Ms. Loice Musyoka, Ms. Miriam Kisato, Ms. Merline Mitei, and Ms. Lilian Kasura.

Remarkable recovery and continued progress

Medical assessments the following day showed significant improvement in blood flow and stable blood pressure.

The baby’s condition improved steadily, allowing doctors to gradually reduce oxygen support.

By February 10, the infant breathed normally without assistance.

Subsequent tests confirmed the baby’s continued progress.

The infant now feeds well, gains strength daily, and remains under close medical monitoring.

Ms. Pilanoi expressed deep gratitude for the exceptional care her baby received, saying, “I am grateful to God and to the doctors and nurses who never gave up on my baby.”

Commitment to advanced healthcare

Dr. Richard Lesiyampe, CBS, KNH’s Acting Chief Executive Officer, emphasized that this successful procedure demonstrates the hospital’s commitment to strengthening specialized services and improving survival outcomes for critically ill newborns.

KNH continues investing in advanced technology, comprehensive staff training, and multidisciplinary collaboration to provide world-class care locally, eliminating the need for Kenyans to seek treatment abroad.

 

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