On the evening of January 6th, the Ho Chi Minh City Department of Health said that Tu Du Hospital had coordinated with Children's Hospital 1 to successfully perform the 13th fetal interventional cardiac catheterization.
Pregnant woman Q (born in 2000) was hospitalized on January 5, 27 weeks 6 days pregnant, diagnosed with pulmonary valve defects accompanied by moderate right ventricular insufficiency, progressing rapidly in a severe direction. This is a rare congenital heart defect, with a high risk of seriously affecting life expectancy and postpartum heart development.
After consultation, the team of 2 hospitals agreed to prescribe balloon pneumothoracic valve closure intervention for the fetus to improve blood flow to the lungs, creating conditions for the right ventricle to continue to develop.
The intervention was performed on the morning of January 6, lasting 70 minutes, and was considered a technically difficult case. The team performed anesthesia, muscle relaxation, and pain relief for the fetus through the umbilical cord vein; punctured a needle into the right ventricle, threaded the guidewire through the pulmonary artery valve, and performed 2.5 × 10 mm balloons, 12 bar pressure, performed 3 times. Post-balloon ultrasound recorded good blood flow to the pulmonary artery.
4 hours after intervention, the pregnant woman was awake, vital signs were stable, no uterine contractions, no bleeding. Ultrasound check recorded no more pericardial fluid overflow, blood flow to the pulmonary artery was good. Currently, both the mother and fetus are stable.
The Ho Chi Minh City Department of Health assessed that the success of the intervention not only brought better opportunities for life and development for fetuses with severe congenital heart defects, but also clearly demonstrated the high technical mastery of the city's team of doctors, right from the fetal stage.
