Source: Bethune First Hospital of Jilin University
Department of Cardiac Surgery and Pediatric ICU of the First Hospital of Jilin University is only 7 years old A child with a weight of only 6.6 kg for congenital heart disease underwent interventional occlusion of patent ductus arteriosus for congenital heart disease, so that the child regained his “heart” life.
One and a half months ago, the child developed symptoms of cough and wheezing after an occasional cold. After treatment in the local county hospital and city hospital, the child did not improve, and then went to the First Hospital of Jilin University. After the doctor’s initial diagnosis, the child was seriously ill, and was immediately admitted to the Pediatric ICU Department of the First Hospital of Jilin University for comprehensive treatment. After admission, the child was diagnosed as “severe pneumonia (bacterial virus mixed infection), congenital heart disease-patent ductus arteriosus, type II respiratory failure, Severe heart failure, moderate anemia, liver injury, left internal jugular vein thrombosis, electrolyte imbalance – hypokalemia”, the pediatric ICU department provides tracheal intubation respiratory support, continuous blood purification, anti-infection, protection of organs and other symptoms Supportive care.
The ductus arteriosus in the child is infundibulum-shaped, relatively thick, and the gap is about 5mm wide, which has seriously affected the cardiac function and symptoms of heart failure. Early surgery is the best treatment method.
(Professor Gao Yongsheng of Cardiac Surgery performed auscultation for children before and after surgery)
Pediatric The ICU Department immediately contacted the Cardiac Surgery Department, and Ma Dashi, the Director of Cardiac Surgery Department, organized a joint consultation and formulated a detailed treatment plan for the child. After comprehensive evaluation, Ma Dashi and Gao Yongsheng, a professor of cardiac surgery, chose to perform interventional occlusion for the child. Compared with thoracotomy, interventional surgery is the best choice for children because of its less trauma, less risk, faster recovery, lower cost and stronger aesthetics. After comprehensive conditioning by the Pediatric ICU Department, after reaching the indications for surgery, Gao Yongsheng was the main surgeon for the operation.
(Professor Gao Yongsheng’s team performed the delicate operation)
(The occluder is in place, the occlusion is done, and the shunt disappears after surgery)
On February 23, Ma Dashi and Gao Yongsheng’s team were the deputy directors of the Department of Anesthesiology With the close cooperation of Wang Hushan, Li Yumei’s team, director of the Pediatric ICU Department, and Wang Gang’s team, the head nurse of the second operating room, interventional occlusion of patent ductus arteriosus was performed for the children with congenital heart disease. During the operation, the problems of small body weight, poor development, extremely thin and abnormally shaped blood vessels, and too large ductus arteriosus were overcome, and the occluder was successfully placed in place. All the murmurs disappeared and the shunt disappeared. The child was safely returned to the pediatric ICU for rehabilitation. The operation set the record of the youngest age and lowest weight for interventional closure of congenital heart disease in Jilin Province.
(The child is recovering smoothly after surgery)
In recent years, cardiac surgery and pediatric ICU Sincerely cooperate with each other, give full play to the advantages of their respective diagnosis and treatment technologies, “be careful before surgery, be proficient during surgery, and be diligent after surgery”, and successfully treated several children with severe congenital heart disease at a young age and low body weight with comorbidities. A “little heart” is beating healthily.
Review: Xinya