A team of doctors and surgeons at Brigham and Women’s Hospital and Boston Children’s Hospital have successfully performed a new fetal operation. This time, they were able to treat a rare brain condition known as Galenic venous malformation.
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Intrauterine surgery performed before birth Used for other conditions, which was the first of this contusion. Ultrasound-guided surgery was performed on his March 15, Details published in magazine stroke May 4th.
Galen’s vein malformation occurs when the blood vessels that carry blood from the brain to the heart (known as Galen’s veins) do not develop properly. A malformation or VOGM causes an enormous amount of blood that stresses the veins and heart. It can lead to multiple health problems, including heart failure and brain damage that can lead to death.
During Derek and Kenyatta Coleman’s 30-week ultrasounds, doctors noticed something unusual despite a normal pregnancy. The fetal brain and heart were enlarged, and after further investigation a diagnosis of VBOM was made.
The couple from Baton Rouge, Louisiana FDA-approved clinical trial It’s run by Brigham and Women’s and Boston Children, despite the risk of preterm labor and fetal brain hemorrhage. The team performed surgery at 34 weeks’ gestation to repair the deformity while the baby was still in the womb. They used ultrasound guidance, a long needle similar to those used for amniocentesis, and a small coil placed directly on the abnormal blood vessel to stop blood flow.
The technique is borrowed from previously performed i.intrauterine heart surgeryOnce the fetus is in the optimal position, “we inject a small amount of medicine to keep the fetus from moving, and a small amount to relieve pain,” says Louise Ms. Wilkins Haug said.Reproductive Genetics at Brigham and Women’s Hospital told CNN.
Doctors then inserted a needle into the abdominal wall and carefully threaded a catheter through the long needle. This allowed the metal coils to fill the veins, slowing blood flow and reducing pressure. Scans showed a drop in blood pressure in key areas, and the fetus showed immediate signs of improvement.
Kenyatta was slowly leaking amniotic fluid and went into labor two days after surgery. On March 17, Denver girlfriend Coleman weighing 4 pounds 1 ounce was born. according to her doctorDenver, was very stable in the neonatal period and did not require immediate treatment such as adding coils or medications to support cardiac function.
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“The best part was when she was born. We just saw her doing well in the NICU and we were looking at each other and pinching ourselves,” said Boston Pediatrics. says Darren Orbach, a hospital doctor. Boston CBS affiliate told WBZ-TV“These babies don’t see that, so I didn’t know when to celebrate.
Baby Denver is doing well and heart failure-free almost two months after surgery. Her neurological examination was normal and there are no indications of needing additional medical intervention. “She showed from the start that she was a fighter,” she said. Kenyatta told CNN.
