Mayo expertise for baby Ella — just in time

July 22, 2013

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It wasn’t completely out of the ordinary when doctors discovered Ella Christman had a heart murmur after she was born in May 2012. It’s not uncommon for babies to be born with heart murmurs, caused by small holes between the chambers of their hearts, which typically close on their own in a few days or weeks.

Ella’s parents, Elizabeth and Travis Christman, were slightly more concerned when their firstborn still had the murmur a couple of months later.

The situation became more serious when Ella suddenly went into congestive heart failure at 3 months old.

Clues to a problem

Through a collaborative program at Mayo Clinic Health System, Ella was evaluated by David Driscoll, M.D., a pediatric cardiologist at Mayo Clinic in Rochester, when she was 2 months old.

“We have a good working relationship with the team at Mayo Clinic,” says Kevin Gilmartin, M.D., Ella’s pediatrician in Eau Claire.

“Ella still had the murmur, but she was eating and growing well at that point,” says Elizabeth Christman. “Dr. Driscoll said to let them know if anything changed.”

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But then, when she wasn’t quite 4 months old, Ella’s healthy eating began to falter and her weight leveled off. Tests revealed a surprise: She was in congestive heart failure, when the heart can’t pump enough blood to meet the body’s needs.

At Mayo Clinic, answers and a solution

Ella was transferred that day to Mayo Clinic in Rochester, where Patrick O’Leary, M.D., pediatric cardiologist, ordered more tests. The results revealed that Ella had abnormal holes in two spots in her heart.

The defects were significant enough that Ella would need open-heart surgery. Her seven-hour surgery was on Sept. 25, 2012.

“It was emotionally very challenging, of course,” says Christman. “I knew the risk when I sent her back for the surgery. There were a lot of tears.”

Another problem discovered during surgery

During surgery, Mayo Clinic pediatric cardiovascular surgeon Harold Burkhart, M.D., discovered another problem — a regurgitating tricuspid valve. This means one of the valves that controls blood flow in Ella’s heart was letting blood flow the wrong way. Dr. Burkhart repaired the valve during surgery, too.

“Overall, Ella did great in surgery and we were able to make all of the repairs,” says Dr. Burkhart.

“I don’t think I took a good, deep breath until I saw her again,” recalls Christman. “She was hooked up to lines and monitoring, but she looked like herself. She was a shining star right off the bat.”

After six weeks of recovery, Ella had more energy than ever.

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Normal, healthy toddler — and thankful family

Today, Ella is babbling and walking.

“She’s doing absolutely fabulous,” says Christman. “She’s a normally developing, super-busy toddler. “

The Christmans appreciated having access to specialty care close to home — and expert Mayo Clinic care just a drive away — when their baby needed it most. Today, Ella has yearly heart checkups with a Mayo Clinic cardiologist in Eau Claire.

“The communication is seamless between Eau Claire and Rochester,” says Christman. “Ella has an excellent team watching out for her.”

View chambers and the valves of the heart



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