I
            
            
              ITWAS QUICK coordination of care by
            
            
              a teamof six physicians from four specialties
            
            
              at Kadlec Regional Medical Center that
            
            
              not only saved the life of 31-year-old
            
            
              Ulyana Kuzmycz, but also helped
            
            
              deliver her healthy baby daughter.
            
            
              Ulyana, who was 35 weeks pregnant,
            
            
              began having chest pain. Heart problems
            
            
              ran in her family, so she knew it was
            
            
              important to see a cardiologist. At
            
            
              her September visit, cardiologist
            
            
              Fadi Alqaisi, MD, discovered Ulyana
            
            
              had an aortic dissection, which is a tear
            
            
              in the inner wall of her aorta. Blood was
            
            
              flowing between the layers of her heart,
            
            
              forcing them apart.
            
            
              It was a life-threatening situation.
            
            
              Within an hour, the team of specialists
            
            
              was assembled to determine how best to
            
            
              proceed, while the life of bothmother
            
            
              and baby hung in the balance.
            
            
              “We knew we had to save both of these
            
            
              lives,” said Kadlec Clinic cardiothoracic
            
            
              surgeon Hannan Chaugle, MD, who
            
            
              Keeping Care at Home
            
            
              performed a nearly eight-hour surgery
            
            
              to repair her heart.
            
            
              But the heart surgery did not take
            
            
              place until after she had an emergency
            
            
              cesarean section performed by
            
            
              obstetricians Kevin Turner, MD, and
            
            
              Kenton Sizemore, MD.
            
            
              Little Nina was born, weighing
            
            
              6 pounds despite being five weeks early.
            
            
              Just a few minutes later, Dr. Chaugle
            
            
              began her open-heart surgery in the
            
            
              same operating room.
            
            
              “The patient did really well,” said
            
            
              Dr. Chaugle. “It was amazing. It was
            
            
              one of those days when you feel good
            
            
              to be a cardiac surgeon and you’ve done
            
            
              something good for the patient—in this
            
            
              case, not just one, but two.”
            
            
              Dr. Alqaisi agreed. “We are very
            
            
              excited about having the patient survive
            
            
              this highly fatal condition, saving the
            
            
              baby without any effects and also that
            
            
              the patient is still in good condition for
            
            
              future pregnancies.”
            
            
              According to Ulyana’s husband
            
            
              Daniel, “Given the astute care you have
            
            
              at this hospital, you saved her life.
            
            
              “You can’t escape the duality of life.
            
            
              My wife almost died and my daughter
            
            
              was born. There is something very
            
            
              honest about that,” he said. “I am
            
            
              totally blessed. I have an amazing,
            
            
              amazing woman in Ulyana. She’s
            
            
              strong, she’s stubborn and she’s got
            
            
              a great heart.”
            
            
              Now one successfully surgically
            
            
              repaired, which allows her to hold their
            
            
              tiny new daughter.
            
            
              When
            
            
              minutes
            
            
              make a difference
            
            
              Nonprofit Org.
            
            
              U.S. Postage
            
            
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              Richland, WA 99352
            
            
              Pacesetter
            
            
              is published by Kadlec Health System
            
            
              888 Swift Blvd., Richland, WA 99352
            
            
              (509) 946-4611
            
            
              www.kadlec.org
            
            
              Mary Lynn Merriman, MLM Communications, editor; Kim Fetrow,
            
            
              ImageWorks Media Group; Mark Roberts Photography; Nikki Ostergaard;
            
            
              and
            
            
              Tri-City Herald,
            
            
              photography.
            
            
              Pacesetter
            
            
              Editorial Board chair:
            
            
              Nikki Ostergaard
            
            
              Pacesetter
            
            
              Editorial Board members:
            
            
              Al Wichtendahl;
            
            
              Angela Mohondro; Antoinette Burnside; Delt Clark; Heidi Hill;
            
            
              Jeff Clark; Jim Hall; Julie Chavez; Julie Meek; Kris Gauntt; Bryan Payne;
            
            
              Meg Fallows; Nan Domenici; Renee Sams; Roger Casey
            
            
              The material in
            
            
              Pacesetter
            
            
              is not intended for diagnosing or
            
            
              prescribing. Consult your physician before undertaking any form
            
            
              of medical treatment or adopting any exercise program or dietary
            
            
              guidelines. Information in
            
            
              Pacesetter
            
            
              comes from a wide range of
            
            
              medical experts. Models may be used in photos and illustrations.
            
            
              Copyright © 2012; Coffey Communications, Inc.  CUN27694c
            
            
              Daniel and Ulyana Kuzmycz hold their newly born baby Nina following Ulyana’s heart surgery.