On the afternoon of February 29, information from Bach Mai Hospital said that recently, the hospital's Pediatric Center successfully treated and intervened for a newborn with pulmonary artery stenosis - a congenital heart disease. complicated.
Specifically, the patient is D.TM, in Lap Thach - Vinh Phuc. According to the family, when she went for a prenatal check-up at 31 weeks, the baby's mother was diagnosed that the fetus in her womb was at risk of having heart problems. Immediately, local doctors contacted and exchanged expertise with M.D. Nguyen Trung Kien - Deputy Director of the Pediatric Center, Bach Mai Hospital. After that, the baby's mother went to Bach Mai Hospital for a more thorough examination.
Here, doctors did an ultrasound to diagnose fetal malformations at 31 weeks with severe pulmonary valve stenosis and right ventricular hypoplasia. In such cases, it is necessary to intervene immediately after the baby is born. If not treated promptly, the child's life will be dangerous.
After listening to the doctor's explanation, the baby's parents were mentally prepared to coordinate with the doctor with the desire to give their child a healthy heart. Pediatric Center - Bach Mai Hospital is also ready to receive and promptly treat the baby right after birth.
On February 20, 2, baby M was born at 2024 weeks, weighing 39kg at Vinh Phuc Obstetrics and Children's Hospital. After being born, the baby was transferred to Bach Mai Hospital that afternoon.
The next morning, baby M received the first intervention by Dr. Kien and his colleagues with the pulmonary valvuloplasty technique. 1 days later, the baby received a second intervention with the ductus arteriosus stent technique. This is a difficult technique, especially for newborns, because newborn babies' blood vessels are extremely fragile.
According to Dr. Kien, the reason the baby had to be treated with intervention twice was because the baby's right ventricle was hypoplastic, so after dilating the pulmonary valve, a stent had to be placed to maintain the ductus arteriosus. Stent placement is performed after 2 days to ensure the highest safety for the baby.
Newborns have low birth weight and weak resistance, so during the intervention process, you must be very careful but also very urgent. If errors occur while performing the technique, it will affect the patient's health. to the baby's life.
The intervention time lasts from 1-2 hours with endotracheal anesthesia. Especially, the pediatric patient is always pale due to lack of oxygen, so it is necessary to operate quickly and decisively to open the blood path to the lungs as quickly as possible.
After 2 interventions, this morning, February 29, baby M has recovered, is healthy, and was discharged from the hospital.
According to Dr. Nguyen Thanh Nam - Director of the Pediatric Center, Bach Mai Hospital, baby M's case and many other cases were successfully treated at the Pediatric Center, showing the important role of echocardiography. pregnancy.
Diagnosis of congenital heart disease in the fetus has been widely practiced around the world and has brought very clear results in treatment and prognosis of the disease, allowing for timely treatment as soon as the child is born.
Therefore, experts recommend that mothers, in addition to the regular ultrasound check of the fetus, should conduct a fetal echocardiogram to screen the fetus for congenital heart disease right in the womb for diagnosis. and have timely treatment as soon as the child is born.
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