Khalzova Elena Yakovlevna Biography

They helped a woman with a woman with a note of the phallo - a life -threatening congenital heart defect, which, contrary to all the canons of medicine, was not eliminated in childhood. In the practice of GNCB experts, this is the first case of this kind, and they were able to achieve a successful result, although no one would give guarantees of a favorable outcome. For medical help, the woman was forced to turn in connection with the signs of food poisoning.

In an infectious diseases hospital, a pregnant woman was examined and immediately transported to an ambulance to the regional perinatal center. They made an ECG that showed disorders in the work of the heart. So thanks to the vigilance of our colleagues, the future mother with suspicion of serious cardiovascular pathology ended up in the regional hospital, where cardiologists have established an accurate diagnosis - the Chick Falllo.

Since pregnancy was already large and the birth of a child was expected in less than a month, we decided to leave the woman under the supervision of doctors and take birth here, ”says Elena Yakovlevna Khalzova, head of the pregnancy pathology department of the Novosibirsk Regional Perinatal Center. For reference: The phallo notebook is a congenital heart disease in the Higher School of Economic Council, in which heart structures are incorrectly formed, namely, a pulmonary valve, right ventricle and an interventricular septum, as a result of which the bloodstream is disturbed.

Tetrada Falllo is rare - in one of the newborns with the VPS. Operational treatment is carried out at an early age - in months, and with the appearance of suffocation attacks earlier. Without radical correction of the phallo's notebook, the average life expectancy of people with such a vice does not exceed 13 years. For some reason, the patient was not operated on in his homeland in the first year of life, and, most likely, was not under the supervision of cardiologists.

Meshalkin, the Institute of Obstetrics and Gynecology. Kulakova Moscow, center named after In the end, Almazova, it was decided that the method of delivery should be a cesarean section. The possibility of the presence of anesthesiologists-resuscitators from the NMIC named after Meshalkin was also discussed. However, everything did not go according to the plan: the day before the assigned date of the operation of Caesarean section, the devices recorded a sharp deterioration in blood flow in the fetus.

This required emergency delivery, it was impossible to wait for the help from the federal cardiocenter. The woman was immediately submitted to the operating room. It helped us that while the woman was in the perinatal center, we had time to theoretically prepare for her delivery. We discussed in advance the tactics of its conduct, and with all the possible scenarios of the development of the situation, ”says Kirill Gryaznov.

As the head of the anesthesiological service of the GNCB, the risk of cardial complications, namely fatal rhythm disorders leading to a sudden cardiac arrest during childbirth, this woman was extremely high. Therefore, the specialists of the regional hospital developed not just a permanent, but the seniority plan of each participant in the operating brigade so that after the cut the child is very quickly extracted, because the moment of extraction of the fetus and redistribution of blood flow in the woman is the most dangerous.

Our task was to help the patient with his heart cope with this serious load. And if at that moment the tragedy had happened, we had to conduct a resuscitation, we have no more than one minute for this.

That is why each step was thought out in advance. As a result, our plan worked, everything went smoothly, - notes Kirill Gryaznov. When asked if it was scary, Kirill Gryaznov answered this way: “The work of an anesthetist -resuscitator is a constant stress, you get used to it.” Although the phallo notebook is so anatomically and functionally complex heart disease that at any moment the situation could get out of control for reasons beyond us.

The miracle in itself is that a woman with this vice was able to survive to such an age, to endure pregnancy and give birth to a child. It would be very disappointing if this miracle suddenly broke at the most beautiful moment in her life. We are truly happy for this family. It remains to add that a healthy girl was born. A few days ago, mom and baby were discharged home.

As for the young woman, she recommends a consultation at the Meshalkin Institute to resolve the issue of surgical correction of heart disease. The registry of the clinic.