麻豆果冻传媒

For Release: March 6, 2015

STANFORD, Calif鈥� The first five years of life for Jordan Ervin were an endless cycle of illnesses and medical appointments, from Illinois all the way to California. He鈥檇 been poked, prodded, X-rayed and scanned, and even had his heart cut open, but none of it knocked the perpetual smile off his face.

鈥淛ordan is such a champ,鈥欌�� said his mother, Seville Spearman, of DeKalb, Illinois. 鈥淗e鈥檚 always been just a really happy kid.鈥�

Happy then, but even happier now. That鈥檚 because years of incorrect diagnoses and treatments are now over.

Jordan鈥檚 path to recovery started when, just before his fifth birthday in 2013, a developmental pediatrician put together all of Jordan鈥檚 problems and diagnosed him with , a rare chromosomal disorder that affects just 1 in 10,000 people worldwide.

The disease brings a host of medical issues, including learning disabilities and severe heart defects. It also carries a silver lining: individuals diagnosed with the rare disease also tend to be gregarious and extremely social.
Sounds like Jordan.

鈥淛ordan鈥檚 personality made the process easier to deal with. He never fretted about going to doctor appointments. He was always excited about getting to see the nurses, the woman at the front desk and everyone else in the waiting room,鈥欌�� Seville said.

That good cheer, combined with the renowned work of Frank Hanley, MD, cardiothoracic surgeon at Lucile Packard Children鈥檚 Hospital Stanford and 麻豆果冻传媒 Children鈥檚 Health, means that Jordan鈥檚 big heart is now a properly working heart.

Hanley, who led a marathon, eight-hour surgery reconstructing the pulmonary artery and its branches to Jordan鈥檚 heart last Dec. 10, is known for tackling some of the world鈥檚 toughest and most complex pediatric heart surgeries. For Jordan, this meant correcting his narrowed pulmonary artery and all of its branches.

It was a complicated case. The multiple pulmonary artery blockages caused severe pulmonary hypertension. In less-severe cases in which there is only one area of blockage near or at the pulmonary valve, doctors can perform a fairly simple surgical catheter procedure that uses a tiny balloon to expand the artery. But Jordan had multiple blockages: 12 on his left lung and 14 on the right. The balloon technique is much less effective in this scenario, and no other surgical techniques have been developed to treat these blockages. So, Jordan would need a different approach.

That approach came from Hanley, who receives referrals from all over the world. He鈥檚 the pioneer of a one-stage, fix-all-the-defects surgery called unifocalization.

In the last few years Hanley has taken many of the techniques developed for unifocalization and used them for extensive pulmonary artery reconstruction on Williams syndrome patients like Jordan and other patients with similar heart defects.

To explain Jordan鈥檚 operation, Hanley likened the boy鈥檚 pulmonary arteries to a large tree, starting with a trunk that goes to large branches and then smaller branches. Normally, the blood flows freely through those branches, but in Jordan鈥檚 case, the narrowing of his arteries made it harder for the heart to pump blood to the lungs. This results in pulmonary hypertension, a life-threatening condition. In a case as severe as Jordan鈥檚, Hanley said a balloon catheterization procedure isn鈥檛 effective.

So, in December鈥檚 intricate operation, Hanley and his team placed Jordan on life support, separated his right and left lung arteries and then spliced open the main branch and artery, as well as the second- and third-level branch arteries where the 26 blockages were located. Each blockage was either repaired or patched with human tissues. As a result of the procedure, Jordan鈥檚 pulmonary hypertension was cured, and he would be heading home to Illinois with normal pulmonary artery pressure.

It was another of over 540 unifocalization surgeries Hanley has performed at Lucile Packard Children鈥檚 Hospital for children with complex pediatric heart defects, and with great outcomes. Through talent, stamina and experience, Hanley is able to use this innovative, one-stage approach to decrease overall hospital time for patients, reduce the number of times a heart must be stopped and repair problems before they worsen or become impossible to repair.

鈥淲e鈥檙e definitely on the leading edge of this kind of surgery,鈥欌�� said Hanley, who is also the Lawrence Crowley, MD, Professor in Child Health and a professor of cardiothoracic surgery at . 鈥淛ordan is going to have perfectly normal life expectancy.鈥�

For Jordan鈥檚 parents, it was the best gift they could have ever hoped for. 鈥淲e were joyfully stunned,鈥� said Charles Spearman, Jordan鈥檚 stepfather, thankful for Hanley鈥檚 skill and thrilled that Jordan could return home for Christmas to share that famous smile.

Jordan, a first-grader at Tyler Elementary in DeKalb, is about a year behind his peers developmentally, according to his mother. With heart surgery over, she and her husband can now focus on helping Jordan with other issues that come with Williams syndrome, including delays in speech, social, emotional and gross motor skills.

鈥淭hings just seem brighter again,鈥欌�� said Seville. 鈥淭here was just a dark cloud hanging over us. I was trying to figure out if my son would still be here in six months or for his next birthday. Now I know he will be here. Everything is back to normal, but I will never take anything for granted again.鈥�

Authors

Robert Dicks
(650) 497-8364
rdicks@stanfordchildrens.org