Heart surgery

Connecticut Children’s rescued a baby who had undergone open-heart surgery. Doctors now have a new hybrid operating room and plan to improve the lives of many more.

Hartford — For baby Ellis Schwartz-Mosca and her parents Alyse and Mike, it was a very special day at Connecticut Children’s Medical Center.

The hospital this week unveiled its new pediatric hybrid catheterization lab and operating room, which enables surgery, interventional cardiology and radiology in one location. The new space gives specialists the ability to deliver “safer, faster and of the highest quality” surgical care, hospital officials said.

The equipment includes advanced radiology and electrophysiology technology, X-rays, a three-dimensional electro-anatomical mapping system, fluoroscopy or live X-rays, ultrasound and echocardiology, Dr Shai said. Upadhyay, head of the Connecticut Children’s Division for Cardiology.

“The most impressive thing is that imaging can be done in the Hybrid OR just before surgery to help plan the procedure. This can be done during surgery to identify important anatomy and disease. And after the surgery to assess the results of the surgery or interventions,” he said.

“While all of the technology in medicine is awesome, we still know that the most important are the children whose future is shaped by this space,” he said.

Children like baby Ellis Schwartz-Mosca.

According to Upadhyay, October 27 will mark the one-year anniversary of when Ellis had the world’s first and smallest mechanical heart valve implanted in his heart at the hospital.

Although he has recovered well, Ellis will eventually need two future surgeries once his heart has grown enough. At that time, the valve will need to be replaced and he will be able to perform these life-saving procedures in the new hybrid operating room.

The baby’s father, Mike Schwartz-Mosca, said when his wife, Alyse, was 20 weeks pregnant, they went for an anatomy scan, where they found an abnormality in Ellis’ heart.

Their health care team referred them to Connecticut Children’s, where they discovered it was an extremely serious condition: a condition called critical aortic stenosis, and parts of the left side of Ellis’ heart were too small. To survive, Ellis would need intensive care from birth and a cardiac procedure within days, hospital staff said.

Over the following months, they followed the pregnancy very closely and kept the parents informed of its progress.

As soon as Ellis was born, hospital staff took him in for his first procedure, which was a balloon valvuloplasty, which uses a “long, thin catheter and placed a small balloon in his aortic valve. Ellis and inflated it, opening the valve to allow more blood to flow through it to Ellis’ brain and body,” according to hospital staff.

After Ellis recovered for three weeks in the hospital, he was sent home. However, by week three, the parents knew something was wrong with their son and said they had taken him back to the hospital.

They were then told that Ellis was suffering from heart failure and that doctors needed to perform open-heart surgery, which the parents had tried to avoid, even though they knew it was an imminent possibility that he would have needed if the valvuloplasty did not work.

“We were told they were going to do open-heart surgery using the Ross-Konno procedure, where they moved his pulmonary valve to where the aortic valve is and created a new pulmonary valve with a whole new chart,” said Alyse Schwartz-Mosca. .

While doctors knew Ellis’ mitral valve wasn’t healthy, his mother said they hoped the procedure would be enough. However, as she recovered from the procedure, three weeks later, things were still not looking good for the baby, she said.

“He wasn’t eating and he wasn’t gaining weight. That’s when they replaced his mitral valve. We were so happy to hear his voice. They replaced his mitral valve with the smallest mechanical valve ever, 15 millimeters, or about the size of a penny. And here he is now and it all happened in the first two months of his life,” she said.

“We now know that having this new hybrid operating theater would have done a procedure like his, if it had to go into open heart surgery…that they could have kept him in one place and just moved other people,” she said. said. “So it looks like this new hybrid operating room can really, really save a lot of children’s lives without having any time in between.”

Connecticut Children's Hospital staff and parents Alyse and Mike holding their son, Ellis cutting the ribbon for the new Pediatric Hybrid Catheterization Lab and Operating Room (OR).

Connecticut Children’s COO Bob Duncan said Ellis is one of countless children who are going to have a chance and a healthier future, thanks to the work of their expert surgeons and now this which can be done in the new hybrid operating room.

“Today is an incredible and exciting day in the history of Connecticut Children’s Hospital and in the history of Connecticut,” he said of the facility’s opening. “But more importantly for the health of children.

“Here at Connecticut Children’s, we always strive to do what’s best for children. And for that, you have to think big. And we have to think innovative. And in my opinion, that’s something we do very well here. This [hybrid OR] the room does everything. More importantly, it will have a substantial impact on children’s lives and health,” he said.

Chief surgeon Dr Christine Finck said having the new hybrid operating room means children do not have to be treated like little adults, but need specialist care.

“Here at Connecticut Children’s, we’re going to be able to provide that care in this special room,” she said. “We will be able to combine state-of-the-art imaging technology with routine procedures such as open surgical procedures or minimally invasive procedures. It’s fantastic.

“It means we can improve the accuracy and care that we give to children…” she said.

Finck said the two-in-one surgery, supported by advanced real-time imaging “is what defines the hybrid.

“Hybrid means you can go from imaging to surgery and back to imaging. And what will happen [is] our children will receive the best care ever,” she said.