Stanford Heart Surgeon Performs Operation On Small Infant

Serena Brown is believed to be the youngest and smallest baby ever to undergo open heart surgery. At two months of age, she was finally healthy enough to leave Lucile Packard Children's Hospital at Stanford in Palo Al
Serena Brown is believed to be the youngest and smallest baby ever to undergo open heart surgery. At two months of age, she was finally healthy enough to leave Lucile Packard Children's Hospital at Stanford in Palo Alto, California, to be reunited with her family in Sacramento. Serena was one of a set of triplets born prematurely on December 27, 2001, after only 25 weeks of gestation. While one of her siblings died, Serena and a sister survived.Serena was diagnosed almost immediately after birth with a rare congenital heart abnormality. Had she gone untreated, she would have died. She was transferred to the Children's Heart Center at Packard Children's Hospital, where she underwent surgery on January 11, 2002. At the time of the surgery, she weighed only 640 grams, or 1.4 lbs. -- about the size of two cans of soda. Around 3,500 grams is normal weight for a newborn.

"Her chest was smaller than my palm, and her heart was the size of the tip of my thumb," said Packard physician V. Mohan Reddy, MD who performed the surgery. "To the best of my knowledge, she is the youngest baby ever to have open heart surgery, and the smallest."

Reddy, among the top surgeons in his field, has conducted a thorough review of existing literature regarding pediatric cardiovascular surgery and conferred with his colleagues across the country regarding Serena's surgery. "Most surgeons don't do this operation before 1,000 grams," says Reddy, chief of pediatric cardiac surgery at Packard Children's Hospital. "It's technically difficult, and, in infants this premature, the risks are extremely high. But if you don't do anything, the baby will not survive."

Serena suffered from a condition called total anomalous pulmonary venous return, in which the veins connecting her lungs to her heart were attached to the wrong side of the heart. This meant that oxygen-rich blood from her lungs was not circulating efficiently to the rest of her body. The condition was not related to her prematurity.

The only thing keeping her alive was a naturally occurring hole between the two halves of the heart, which normally seals itself soon after birth. To correct the condition, Reddy re-attached the veins to the correct side of the heart and sealed the hole.

"The operation gives her a chance," Reddy said shortly after the surgery. "Otherwise there is a 100 percent risk of death. Her prognosis now should be like any other 25-week premature baby. There are a lot of hoops she's going to have to jump through, and lung problems can be an issue."

After some initial setbacks because of her lungs, Serena is healthy enough to be transferred from Packard Children's Hospital to Sutter Memorial Hospital in Sacramento, to join her sister Brianna. The third baby, Jocelyn, died earlier this year of necrotizing enterocolitis, or NEC, a severe inflammation of the infant's intestines in which tissue begins to decompose.

Serena is now nearly 900 grams. She no longer needs a ventilator to breathe, although she still receives oxygen. She is fed continuously -- about one milliliter of formula an hour through a feeding tube, says Kirsten Braccia, RN, who cared for Serena at Packard Children's Hospital.

"She's been through quite a bit," Braccia said Thursday. "She's really turned the corner. She's doing really well. She truly is a miracle...She's been very alert and very active."

Her parents, Joshua and Lori Brown, are delighted that Serena is alive, improving and coming at least a little closer to home. "We'll be able to see both of them more often, and I'll be able to hold Serena. I haven't been able to hold her, yet. We'll be able to be closer to her emotionally and physically. It feels strange not being able to hold your child. It's against a mother's nature being so far from her child," Lori Brown said Thursday.

The Children's Heart Center is one of six centers of excellence at Packard Children's Hospital. The center brings together physicians, nurses and support staff of many specialties to collaborate in the treatment of congenital and acquired heart disease in children of all ages from across the nation and around the world.

The Children's Heart Center is one of the largest programs in the country performing such specialized pediatric cardiovascular surgery. The more surgeries that are performed at an institution, the higher the success rate, according to medical experts.

Reddy, Michael Black, MD, and Frank L. Hanley, MD, director of the center, specialize in correcting the congenital cardiac defects that affect approximately one percent of all newborns and are the leading cause of death from congenital anomalies. Reddy's primary interest is neonatal cardiac surgery on premature or low birth weight infants.

Serena's surgery, Reddy said, would not have been a success without intensive preparation and a team of specialists. "This kind of operation takes a lot of planning and teamwork," Reddy said. "We had very good support and the team worked very well together. The neonatal respiratory team did an excellent, outstanding job. Although I do the surgery, the team has to be completely focused, because no one has done an infant this small before."PregnancyAndBaby.com


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ian Rigoberto Uran.

On the evening competed primarily with awful climate conditions, Quintana placed in advance of the standard classification opponents the shifty lineage away from the Passo dello Stelvio the next with a few substantial ascends after which expanded his or her cause using a unrivaled indicate of power on the incline to the summit stop at Val Martello.

He or she crossed the queue 8-10 moments before second put Ryder Hesjedal and also finally installed Pierre Rolland, who had both equally steered clear of by using your pet over the Stelvio, nonetheless a lot more appreciably complete 4min 11sec ahead of Uran.

It means Quintana today potential customers his compatriot in the over-all status simply by 1min 41sec, with Cadel Evans losing to third, 3min 21sec to come back, soon after he / she as well seemed to be caught out.

There were a part of debate around Quintana break free provided that it all came up just after rush organizers tweeted your ancestry away from the Stelvio could well be neutralised on account of serious glaciers higher up and drenched driveways reduce. The particular twitter was initially eventually wiped together with clubs were not officially explained to to prevent bike racing, although bafflement even so ruled. bounded<a href=http://oursearchworld.com/piratesgame/j2zpp122/index.html>nike air jordan 19 shoes for womens</a> down not aware in a very list of riders and also quickly exposed a tremendous space with the opponents, nevertheless it seemed to be on the Twenty two.3km go up to Val Martello exactly where your dog killed house his / her benefits together with revealed their school.

His / her group fired up your climb using a 1min 50sec advantage on the maglia rosa collection as well as notwithstanding having no aid from the residual riders while in the evade, he previously greater than doubled conducive with the smt after a sublime exhibit regarding climbing.

Hesjedal and Rolland ended up being really the only cyclists from the several gentlemen by using Quintana that will help keep away, but they also far too fell into absent should the incline dealt with 18 % from the ending km's.

Quintana proclaimed later on: "At the particular drop, Europcar together with Hesjedal began heading powerful and <Gorka> Izagirre together with me personally used their trolley wheels. It had not been an anxiety attack, by any means, neither managed I really perceive whatever with regards to the contest getting neutralised, neither within the coordinators neither of them through the team stereo. nevertheless the major distance was really converted to the ultimate scale tow




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ericexu November 15, 2014
pean Percentage forward motion that is definitely devoted to the power of reform. Indeed, this will thrust of your technique he will keep acquire."

Mr Cameron's tactic have earned supporting with previous European business commissioner and Work peer Master Mandelson, that stated it appeared to be "reasonable" for that Prime Minister that will demand from customers that a range of contenders are considered.

Lord Mandelson explained Mr Juncker seemed to be certified to do the job however insisted a new "wider plus enlightened choice" associated with job hopefuls have to be picked.

He or she shared with BBC Airwaves 4's Today routine: "He might are the nightmare selection. Now i am saying that this individual is highly recommended among others.

"I still find it sensible how the Prime Minister states in making an educated decision from the array of prospects.Half inch

Adept Mandelson guaranteed Business Lagarde or perhaps Pascal Lamy, former director standard on the planet Commerce Operation, for that very best employment.

However your dog overlooked guidelines that past pm Tony morrison Blair could possibly strive for the post.

"Tony offers dominated herself out and about for virtually any top position,In . he stated.

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Our god Mandelson said it had been a "shame" which will Mr Blair ended up displaced for you to national healthcare nonetheless their interventions ended up In . intense In together with "always truly worth playing to".PM keeping choices available upon EU leader Made by this Is actually Wiltshire

Downing Road has got was adament the fact that contest to get Western european Commission rate us president stays amenable, after past Norway In the afternoon Jean Claude Juncker declared he ended up being "more positive as compared with ever" he can area the project.

Federalist Mister Juncker created his or her idea from a information in Facebook basically a short time right after Prime Minister Brian Cameron clarified his particular challenge so that you can his particular session.

In the mean time, Mister Cameron's representative dropped to help inquire into conjecture which will IMF key Christine Lagarde had been promoted for the task, which happens to be normally accessible to a candidate able to secure comprehensive agreement help coming from management from the EU's 28 representative suggests achieving in the Western european Government.

A n't




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Harrison proclaimed the area staff members has probable between 500 plus 300 units to the down-town in addition to southern connected with grounds cities, along with the rest on the different casing to become created over the town commercially made corridorsniversity, Shattuck, San Pablo together with Telegraph strategies and also along Adeline Block.

Area naturalist Charlie Wollmer expected commissioners why the allowance didn range from the so called accessory house items (known as mummy during regulation residences) called for from the town approaching Climate Action Plan.Planners OK closing influence declaration

Cpe VINCENT The area Considering Snowboard okayed E. Lawrence Breeze Farmville farm very last the environmental effects assertion, discovering that noises ranges in the consist of wind power plantation happen to be not likely to help go over declare thresholds and taking on the particular builder suggestion for your sound claim conclusion approach.

The Planning Panel authorized the outcome record and very own results May. 16. These actions finish the environmental evaluate approach within the State Green Level of quality Overview Act.

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Starnes: ?I own a quite slight beat upon him, make sure you dash.?

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Starnes: ?Baby you actually gotta awaken (inaudible) Inhale Thomas remember to. Simply no they may be arriving.Inch

Your Kootenai Nation Sheriff examiner says that Chad Moore shot as many as in search of units from a .Forty-five caliber hand gun from Taylor, impacting him or her 5x during the mind, leg, case, quad along with base. Researchers the hit to the brain is exactly what at some point broken Taylor?ohydrates daily life.

Starnes: ?I have a extremely, rather weak beat.?

Dispatcher: ?OK is there whatever you decide and could wear the injure to stop the particular swelling??

Starnes: ?Have just about any bathroom towels or nearly anything I can place on her incision?"

Researchers the data illustrates Taylor got here from Moore's perform


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