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Children's Hospital Los Angeles Heart Surgeons Complete Rare Pediatr

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  • Children's Hospital Los Angeles Heart Surgeons Complete Rare Pediatr

    CHILDREN'S HOSPITAL LOS ANGELES HEART SURGEONS COMPLETE RARE PEDIATRIC DOUBLE MELODY VALVE HEART PROCEDURE, THE FIRST EVER AT CHILDREN'S HOSPITAL LOS ANGELES

    PharmiWeb.com
    Nov 11 2013

    Children's Hospital Los Angeles
    Posted on: 11 Nov 13

    More Children's Hospital Los Angeles press releases

    Seroj Avoyan is a world class Armenian Dhol drum virtuoso whose
    fingers move with such dexterity they are a blur to the eye. Only
    the human ear can pick up the beauty of the stunning rhythmic beat
    produced by his hands. So gifted he has performed on stage with Yani
    and was a featured solo performer at the Armenian Music Awards in 2002.

    Children's Hospital Los Angeles pediatric interventional cardiologist
    Frank Ing MD with patient Brian Frounzian. (Photo: Business Wire)

    That same year Seroj had a second thrill: the birth of his Brian. But
    within days doctors heard something wrong with beat of Brian's heart.

    He was born with a life threatening congenital heart defect that
    required emergency surgery six days after birth and open heart surgery
    three weeks later. "It was terrible" says Ruzan his mother.

    The defect critical pulmonic stenosis affects the leaflets of the
    pulmonary valve making it difficult for blood to flow from the right
    ventricle to the lungs. He also had an Ebsteinoid Tricuspid valve a
    structural insufficiency that prevents the valve from closing tight
    allowing blood to leak backwards.

    But recently Brian now 11 underwent a rare pediatric transcatheter
    double Melody valve procedure the first ever performed at Children's
    Hospital Los Angeles. The procedure first performed in Germany in
    2011 has corrected both defects and instilled Brian a young swimmer
    and martial arts aficionado with newfound energy that was in short
    supply earlier this year.

    Brian just recently returned to Children's Hospital Los Angeles for
    his first check-up and he is recovering great says Dr. Ing. "For
    the foreseeable future I believe Brian is safe from needing another
    surgery" Ing says.

    That is wonderful music to his mom and dad's ears. Brian is a tough
    kid having endured six previous heart surgeries including an open
    heart tricuspid valve replacement at age four. Brian progressed in the
    following years but more than a year ago he started feeling sluggish
    compared to his friends. There was a medical explanation: He was
    outgrowing his leaky replacement Tricuspid valve which was causing
    the right side of his heart to expand. This was to be expected as
    his heart outgrew his replacement part. "He kept saying 'Mom why am
    I getting tired?'" his mother Ruzan recalls. Brian an active swimmer
    and martial arts aficionado never seemed to have energy. "He would
    play with the other kids and always get tired first" she says.

    Tests on Brian's heart in 2012 showed his heart function was decreasing
    and doctors had only a handful of options. At some point both his
    pulmonary and tricuspid valves would need to be replaced potentially
    with open heart surgery operations. Or doctors could consider a
    relatively new cardiac catheterization procedure that could take care
    of both valves at once without opening the chest.

    Brian's team at Children's Hospital Los Angeles opted to do the
    transcatheter double Melody valve implant. Brian's cardiologist
    at Children's Matsato Takahashi reached out to Children's Hospital
    Los Angeles Heart Institute's new recruit Pediatric Interventional
    Cardiologists Frank Ing who specializes in complex catheterization
    procedures. Dr. Ing teaming with Cardiologist Cheryl Takao was
    optimistic a transcatheter double Melody valve implant could do the
    job even though it was only recently perfected for children in the
    past couple of years.

    "I have followed Brian as an outpatient most of his life and watched
    him with a great deal of concern due to progressive deterioration
    of his right heart due to leaky tricuspid and pulmonic valves"
    says Takahashi. "It would have required a very extensive surgery
    to fix this problem. I was a little apprehensive when Drs. Ing and
    Takao proposed a double Melody valve procedure but it turned out
    the procedure went exceedingly well and the patient showed much
    improvement in his cardiac function. I believe this is a tour de
    force for our interventional team."

    Dr. Ing is one of a handful of physicians nationwide who has performed
    the procedure numerous times. He was recruited by Children's Hospital
    Los Angeles last September from Texas Children's Hospital and has
    been breaking new ground at Children's Hospital using pioneering
    catheterization stenting and Melody valve implant procedures which are
    less invasive than open heart surgery. "Recovery time is much faster"
    he says.

    Brian underwent the six hour transcatheter procedure in May and he was
    standing and walking the next day (we have pictures). Now he's back to
    swimming and karate and starting school in a few weeks says mom Ruzan.

    "He's doing great and now he feels normal" she says. "Just like the
    other kids."

    Dad Seroj Avoyan a colon cancer survivor who has battled serious
    health problems himself feels uplifted by his son's progress. "My
    son is an inspiration" says Seroj.

    Photos/Multimedia Gallery Available:
    http://www.businesswire.com/multimedia/home/20131111006127/en/

    Business Wire http://www.businesswire.com/

    http://www.pharmiweb.com/pressreleases/pressrel.asp?ROW_ID=80574#.UoKIaEP8LIU




    From: A. Papazian
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