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  KD MAGAZINE! 
Posted: March 23, 2006 - יום
חמישי, כ"ג אדר תשס"ו
 
 

PRESS RELEASE: SCHNEIDER CHILDREN’S MEDICAL CENTER OF ISRAEL

RARE OPERATION SAVES THE LIFE OF A ONE-YEAR-OLD FROM GAZA

The life of one-year-old Marwa Rafid Madhoun of Gaza was saved following a rare operation performed at Schneider Children's. The child suffered from a severely constricted airway. Dr. Schonfeld: "She arrived when she was already blue, and it was clear that she had little time to live." The rare surgery is conducted only at 6 centers in the world. 

Marwa Rafid Madhoun, a one-year-old infant from Gaza, was born with a rare defect in her trachea: a diameter of 2 mm rather than 2 cm as is normal in others her age. During an operation performed at Schneider Children's Medical Center, the trachea was restored. According to doctors, the child would not have survived without surgery. 

"The infant arrived barely alive," said Dr. Tommy Schonfeld, Director of the Pediatric Intensive Care Unit. "At the age of one year, she weighed only 5 kgs. She refused to eat, suffered from pneumonia and required intensive ventilation. The color of her skin was blue and it was clear that she did not have much time to live." 

Due to her narrow trachea, Marwa utilized only a quarter of her lung capacity. The rare defect from which she suffered is found in one in 200,000-250,000 births. According to Dr. Schonfeld, only 7 such operations have been performed before in Israel, all at Schneider Children's. These types of surgeries are conducted only in 5 other centers in the world and are thought to have a high degree of mortality. 

"The medical staff was undecided whether we should attempt the operation at all because her trachea was extremely narrow and it was by far the most difficult case we had seen," said Dr. Schonfeld. In addition, doctors found that the infant's left pulmonary artery exited from the right pulmonary artery and pressed on the trachea. 

During the operation which was performed by Prof. Bernardo Vidne, Director of the Cardiothoracic Surgery Department, surgeons rebuilt a new trachea with tissue taken from the infant's own airway. In addition, the left pulmonary artery was reconnected in the correct place. 

"She was sedated for 10 days and awoke a few days ago and is now recovering well," related Dr. Schonfeld. "Her trachea is open and she is hungrily eating her food and gaining weight." Schneider Children's requested that the child remain hospitalized longer than usual because it is unclear whether she will be able to arrive for check-ups in Israel following her return to Gaza.


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