The Culture of Different MKTG_150064494_2018 Service Line Big Book Full_FIN | Page 46

understand his failure to improve from a
clinical standpoint — a risky procedure for a
patient caregivers had called, “the sickest baby
in the hospital.”
The catheterization results were devastating:
it showed that Noah had multiple pulmonary
arteriovenous malformations (AVMs) in the lungs.
Melissa Lindsay with her son, Noah,
who was born with congenital
diaphragmatic hernia.
Pulmonary AVMs are arteries that join with veins
without passing through the capillary bed, Dr. Gien
explains. This creates a shunt, where blood passes
from the pulmonary arteries to the pulmonary
veins and fails to get oxygenated, resulting in low
oxygen levels.
This was why Noah was dying.
Saving “The Sickest
Baby in the Hospital”
Born in early 2016 with
congenital diaphragmatic
hernia (CDH), Noah Lindsay had
a 20 percent chance of survival,
due to the severity of the defect.
Following his delivery at the
Colorado Fetal Care Center at
Children’s Hospital Colorado, he
showed few signs of overcoming
his grim prognosis, and went
on extracorporeal membrane
oxygenation (ECMO) five hours
after birth.
He stayed on heart-lung
bypass for 18 days; despite
successful