Pediatric University surgeons performed a rare operation on a newborn with vascular malformation of the liver
A baby with congenital vascular malformation of the liver was saved at SPbSPMU. For the first time in Russia, a newborn with this pathology underwent complex endovascular intervention.
The infant from Kaliningrad developed respiratory and heart failure the day after birth. Doctors, after performing a CT-scan, noticed an incorrect connection of the arteries and veins of the liver. Experts call this condition vascular malformation. The patient was rushed to the intensive care unit of the SPbSPMU Clinic. Doctors carefully examined the large mass in the liver. It became obvious that the operation was necessary.
– Congenital hypervascular neoplasms and arteriovenous malformations of the liver are extremely rare. In the world literature, there are isolated descriptions of this pathology. At the same time, the mortality rate varies from 30 to 80% – said Mikhail Komissarov, the head of the Department of X-ray surgical methods of diagnosis and treatment at the Pediatric University.
He also explained that due to abnormal connections of arteries and veins in such patients, the blood supply to organs and tissues located below the affected area deteriorates. The strain on the heart and lungs increases, and therefore, cardiopulmonary failure develops.
– Since the volume of pathological tissues in this child was very large, it was not possible to remove them by a routine surgical method, – said Mikhail Komissarov and added, – such patients are indicated for X-ray endovascular surgery. This is when a very small catheter is inserted through the femoral artery directly into the liver vessels that feed the malformation, and closes them.
To date, in Russia only Pediatric University surgeons perform endovascular operations for infants with low body weight.
Difficult surgical intervention for a child from Kaliningrad was performed by Mikhail Komissarov, assisted by Ivan Aleshin. After that operation the baby's condition improved significantly.
– Since the pathology is extremely rare, it is difficult to say how the patient will recover. We managed to eliminate the threat to the child's life and buy time for the baby to grow up. Then he will have various examinations. We hope for his full recovery, – said the head of the Department of X-ray surgical methods of diagnosis and treatment at the Pediatric University.
Date of publication: 25.08.2020