Saving the life of a fetus with severe congenital heart defects.

That is the case of the pregnant woman. NTTT (born in 1999) second pregnancy, discovered The fetus has pulmonary artery stenosis. when the pregnancy is At 22 weeks and 4 days , the pregnant woman was immediately transferred to Tu Du Hospital and Children's Hospital 1 for further monitoring and assessment of the fetal heart rate.

Through close monitoring until the pregnancy... At 29 weeks and 3 days , the doctors noted... Severe pulmonary artery stenosis, accompanied by rapidly worsening moderate right ventricular hypoplasia.

Faced with this serious threat, On December 29th , Tu Du Hospital organized... Emergency inter-hospital consultation With the Board of Directors and the interventional cardiology team of Children's Hospital 1, a consultation was held to unanimously diagnose the fetus with... Severe pulmonary artery stenosis progressing to valvular atrophy, moderate right ventricular hypoplasia progressing to severe , and indications. Emergency transuterine pulmonary artery valvuloplasty .

Experts assessment If not treated promptly during the fetal stage, The risk of stillbirth can be as high as 40% , or the fetus may progress to pregnancy. Severe hypoplastic right ventricle syndrome requires newborns to undergo multiple complex surgeries, and in some cases, even heart transplantation.

After thorough consultation and obtaining the family's consent, the two hospitals agreed to collaborate on performing fetal cardiac catheterization. enter morning of December 30th .

On the morning of December 30th, the doctor's team Obstetrician and Pediatrician Two hospitals performed the intervention. The pregnant woman was spinal anesthesia is administered , and the fetus is also given anesthesia. direct anesthesia Using specialized medications, and under precise ultrasound guidance, the obstetric team accesses the right ventricle of the fetal heart through the abdominal wall and uterine cavity; subsequently, the interventional cardiology team performs the procedure. pulmonary artery dilation – a crucial step in fetal cardiac catheterization technique.

The post-intervention test results showed Blood flow through the pulmonary artery valve improved significantly , and pericardial effusion was minimal. The fetal heart rate stabilized . Finally, the intervention was completed. and was evaluated It was a great success .

According to doctors, in the coming period, pregnant women will continue to have their pregnancies monitored in coordination between Tu Du Hospital and Children's Hospital 1 , in order to ensure maximum safety for both mother and fetus, aiming for a healthy pregnancy and a good outcome after birth.

Source: https://baophapluat.vn/cuu-song-thai-nhi-mac-di-tat-tim-bam-sinh-nang.html