The baby, born with a complex congenital heart defect, received intervention immediately after birth.

On the afternoon of February 29th, information from Bach Mai Hospital indicated that the hospital's Pediatric Center had successfully treated and intervened in the case of a newborn with pulmonary artery stenosis – a complex congenital heart defect.

Specifically, the patient is D.T.M., from Lap Thach, Vinh Phuc province . According to the family, during a prenatal check-up at 31 weeks, the mother was diagnosed with a potential heart problem in the fetus. Immediately, local doctors contacted and consulted with Dr. Nguyen Trung Kien, Deputy Director of the Pediatric Center at Bach Mai Hospital. Following this, the mother went to Bach Mai Hospital for a more thorough examination.

Newborns receive intervention immediately after birth. (Photo courtesy of the hospital)

Here, doctors performed an ultrasound and diagnosed a fetal abnormality at 31 weeks of gestation: severe pulmonary artery stenosis and right ventricular hypoplasia. Such cases require early intervention immediately after birth; failure to address them promptly can be life-threatening.

After listening to the doctor's explanation, the parents were mentally prepared to cooperate with the doctor, hoping to give their child a healthy heart. The Pediatric Center at Bach Mai Hospital was also ready to receive and treat the baby immediately after birth.

On February 20, 2024, baby M was born at 39 weeks, weighing 3.5 kg, at Vinh Phuc Obstetrics and Pediatrics Hospital. After birth, the baby was transferred to Bach Mai Hospital that same afternoon.

The following morning, baby M underwent her first intervention using pulmonary artery valve dilation. Three days later, she received a second intervention using arterial duct stenting. This is a difficult technique, especially for newborns, because their blood vessels are extremely fragile.

According to Dr. Kien, the reason for the two interventions on the child was that the right ventricle was hypoplastic, so after dilating the pulmonary artery valve, a stent had to be placed to maintain the ductus arteriosus. The stent placement was performed after 3 days to ensure the highest level of safety for the child.

Newborns are born with low birth weight and weak immune systems, so interventions must be carried out with extreme caution but also with great urgency. Any mistakes during the procedure can affect the baby's life.

The intervention lasts from 1-2 hours with endotracheal anesthesia, and because the child is always cyanotic due to oxygen deprivation, quick and decisive action is needed to open a blood flow to the lungs as quickly as possible.

Doctors examine a young patient before discharge. (Photo courtesy of the hospital)

After two interventions, this morning, February 29th, baby M has recovered, is healthy, and has been discharged from the hospital.

According to Dr. Nguyen Thanh Nam, Director of the Pediatric Center at Bach Mai Hospital, the case of baby M and many other cases successfully treated at the Pediatric Center demonstrate the important role of fetal echocardiography.

The diagnosis of congenital heart disease in utero has become widespread worldwide and has yielded significant results in treatment and prognosis, allowing for timely intervention as soon as the child is born.

Therefore, experts recommend that, in addition to scheduled prenatal ultrasounds, mothers should undergo fetal echocardiography to screen for congenital heart defects while still in the womb, so that they can be diagnosed and treated promptly after birth.

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Source: https://giadinh.suckhoedoisong.vn/em-be-mac-tim-bam-sinh-phuc-tap-duoc-can-thiep-ngay-khi-chao-doi-172240229171925102.htm