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Illinois boy saved by super-surgeon

STANFORD. Calif – 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’d 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.

“Jordan is such a champ,’’ said his mother, Seville Spearman, of DeKalb, Illinois. “He’s always been just a really happy kid.”

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

Frank Hanely, MD - Stanford Children's

Jordan’s path to recovery started when, just before his fifth birthday in 2013, a developmental pediatrician put together all of Jordan’s problems and diagnosed him with Williams syndrome, 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.

“Jordan’s 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,’’ Seville said.

That good cheer, combined with the renowned work of Frank Hanley, MD, cardiothoracic surgeon at Lucile Packard Children’s Hospital Stanford and Stanford Children’s Health, means that Jordan’s 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’s heart last Dec. 10, is known for tackling some of the world’s 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’s 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’s operation, Hanley likened the boy’s 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’s 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’s, Hanley said a balloon catheterization procedure isn’t effective.

So, in December’s 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’s 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’s 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.

“We’re definitely on the leading edge of this kind of surgery,’’ said Hanley, who is also the Lawrence Crowley, MD, Professor in Child Health and a professor of cardiothoracic surgery at Stanford University School of Medicine. “Jordan is going to have perfectly normal life expectancy.”

For Jordan’s parents, it was the best gift they could have ever hoped for. “We were joyfully stunned,” said Charles Spearman, Jordan’s stepfather, thankful for Hanley’s 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.

“Things just seem brighter again,’’ said Seville. “There 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.”

Authors

About Stanford Children’s Health and Lucile Packard Children’s Hospital Stanford

Stanford Children’s Health, with Lucile Packard Children’s Hospital Stanford at its center, is the Bay Area’s largest health care system exclusively dedicated to children and expectant mothers. As a top-ranked children’s hospital by U.S. News & World Report, we are a leader in providing world-class, nurturing care and achieving extraordinary outcomes in every pediatric and obstetric specialty. Stanford Children’s Health provides everything from specialty care to general pediatrics and can be accessed through more than 60 locations across Northern California and 100 locations in the U.S. western region. As the pediatric and obstetric teaching hospital for the world-renowned Stanford University School of Medicine, we’re cultivating the next generation of medical professionals and are at the forefront of scientific research to improve children’s health outcomes around the world. We are a nonprofit organization committed to supporting the community through meaningful outreach programs and services and providing necessary medical care to families, regardless of their ability to pay. Discover more at stanfordchildrens.org.

 

About Stanford University School of Medicine

The Stanford University School of Medicine consistently ranks among the nation’s top medical schools, integrating research, medical education, patient care and community service. For more news about the school, please visit med.stanford.edu/school. The medical school is part of Stanford Medicine, which includes Stanford Health Care and Stanford Children’s Health. For information about all three, please visit med.stanford.edu.