 近日，美国加州大学洛杉矶分校（UCLA）美泰儿童医院的全体人员，共同见证了一个快乐的结局，他们告别了一位特殊的患者——五周大的婴儿Dravyn Johnson。Dravyn是UCLA医院第二位接受心脏移植手术最年轻的的患者，仅23天，一颗草莓般大小的心脏被植入他的身体内。
“我们所有的心脏移植患者都很特殊，但我认为Dravyn的特殊在于，我们意识到有风险，如果我们不能够及时的找到捐赠者的心脏。”Juan Alejos医生说。Alejos是UCLA美泰儿童医院的儿科心脏学教授及儿科心脏移植手术主任。  Dravyn出生时患有动脉导管未闭和无肺动脉瓣，其实在母亲Eggleston怀孕22周做超声波检查时，就已经被发现。医生最初认为，Dravyn出生后的未来几年，心脏要进行一系列的矫正手术。
然而，Dravyn在橙县出生后，医生发现他只有一个冠状动脉，如果进行手术，会有很大的风险。
五天后，Dravyn被空运到UCLA美泰儿童医院。经过医生团队的讨论，最后确定紧急心脏移植是生存的唯一希望。当Dravyn的名字被列在心脏移植的名单上时，奇迹般的事情出现了，他们在二天内就得到了器官捐献。患者心脏移植一般都需要等好几个月，有的甚至要等上好几年。在出生后23天，Dravyn成功接受了心脏移植手术，他成为UCLA第二位最年轻的心脏移植患者，第一位是在1994年，出生后仅16天的婴儿接受了心脏移植手术。
加州大学洛杉矶分校的小儿心脏和心肺移植项目是美国西部的主要转诊中心之一。该团队自1984年以来，已进行了超过300例小儿心脏移植手术。该项目是由儿科心脏病专家、心胸外科医生、牙医、执业护士、移植协调员、营养专家、社会工作者和儿童发育专家相互之间的协调。来完成每次的救治任务。
Staff at Mattel Children’s Hospital UCLA witnessed a happy ending today instead of what could have easily been a tragic one when they bid farewell to five-week-old Dravyn Johnson, who went home with his mother, Nicole Eggleston, and two older brothers after becoming the hospital’s second youngest heart transplant recipient. He was only 23 days old when he received his new heart, which was the size of a strawberry.
“All of our heart transplant patients are special, but I think this one was special because we knew there was a risk we might not find a donor in time,” said Dr. Juan Alejos, professor of pediatric cardiology and director of the Pediatric Heart Transplant Program at Mattel Children’s Hospital UCLA
Dravyn was born with a condition called pulmonary atresia in which the pulmonary valve does not form properly. It was discovered during Eggleston’s pregnancy in a sonogram performed at 22 weeks. Doctors had thought initially that his heart could be repaired with a series of corrective surgeries performed over the first few years of Dravyn's life.
However, when he was born in early February at an Orange County hospital, doctors found that he had only one coronary artery instead of two and determined that surgery would be too risky for the baby.
At five days old, Dravyn was airlifted to Mattel where doctors confirmed that the only hope for his survival was an urgent heart transplant. Miraculously, within two days after Dravyn's name went on a list for a transplant, a donor was found. And Dravyn got his new heart. The hospital’s youngest heart recipient was a 16-day-old infant who received a transplanted heart in 1994.
The UCLA Pediatric Heart and Heart-Lung Transplant Program is one of the major referral centers for the Western United States. The team has performed more than 300 pediatric heart transplants since 1984 when it did its first such surgery. The program is a coordinated effort among pediatric cardiologists, cardiothoracic surgeons, dentists, nurse practitioners, transplant coordinators, nutritional specialists, social workers and child developmental specialists. |
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