{"id":20408,"date":"2026-06-15T16:19:38","date_gmt":"2026-06-15T12:19:38","guid":{"rendered":"https:\/\/medscriptum.org\/orjer-dabadeba-operatsia-chaos\/"},"modified":"2026-06-15T16:25:00","modified_gmt":"2026-06-15T12:25:00","slug":"orjer-dabadeba-operatsia-chaos","status":"publish","type":"post","link":"https:\/\/medscriptum.org\/en\/orjer-dabadeba-operatsia-chaos\/","title":{"rendered":"The Child Born Twice: A Highly Complex Surgery Successfully Performed to Treat CHAOS"},"content":{"rendered":"<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu xyri2b x18d9i69 x1c1uobl xeuugli x1vjfegm\" role=\"presentation\">\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu xyri2b x18d9i69 x1c1uobl x78zum5 xh8yej3\" role=\"presentation\">\n<div class=\"x78zum5 xdt5ytf x193iq5w x1n2onr6 x1kxipp6 xuk3077\">\n<div class=\"x78zum5 xh8yej3\" role=\"none\">\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu xyri2b x18d9i69 x1c1uobl x6ikm8r x10wlt62\">\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak x14ctfv x13sv91t x6ikm8r x10wlt62 xerhiuh x1pn3fxy x10zy8in xm9bcq3 x1n2onr6 x1vjfegm x1k4qllp x1mzt3pk x13faqbe x11jlvup xpmdkuv xrmkrer x12z03op x9wyiwl x13fuv20 x18b5jzi x1q0q8m5 x1t7ytsu x12lizq0 x1nrdd72 x1ybe9c6 xx487zo xaymx6s x1ou5ly4 xofb2d2 x1t39747\" role=\"presentation\">\n<div class=\"html-div xexx8yu xyri2b x18d9i69 x1c1uobl x1gslohp x14z9mp x12nagc x1lziwak x1yc453h x126k92a xyk4ms5\" dir=\"auto\">For Keishera and Greg Joubert, a family living in Florida, the beginning of 2025 started with immense joy when they learned that their two-year-old son would soon have a baby brother. However, at 19 weeks of pregnancy, during a routine examination, doctors delivered devastating news. The fetus was diagnosed with a rare pathology known as Congenital High Airway Obstruction Syndrome, or CHAOS. This condition occurs in approximately one out of every fifty thousand births and is characterized by a thick membrane that completely blocks the fetus&#8217;s airway, causing fluid to trap in the lungs. The statistics were so alarming that the leading surgeon, Dr. Emanuel &#8220;Mike&#8221; Vlastos, had seen only twelve cases of this syndrome in his forty-two-year career, with only three of those babies surviving.<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu xyri2b x18d9i69 x1c1uobl x1h91t0o xkh2ocl x78zum5 xdt5ytf x13a6bvl x193iq5w x1c4vz4f x1eb86dx\" role=\"presentation\">\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu xyri2b x18d9i69 x1c1uobl\">\n<p data-path-to-node=\"4\">Initially, doctors scheduled an in-utero surgery to try and clear the blockage with a special laser scope, but the procedure failed. It was after this that the medical team made a unique and highly risky decision, which would later be symbolically referred to as the baby being &#8220;born twice.&#8221; At 25 weeks of pregnancy, at the specialized Orlando Health Winnie Palmer hospital, doctors used a cesarean section to deliver only the head and arms of the fetus from the mother&#8217;s uterus, while the rest of his body remained inside so that the baby would not lose the oxygen supply provided by the mother through the placenta. In this unusual and tense moment, an ear, nose, and throat specialist successfully created an airway surgically for the little one. Immediately after the successful operation, doctors returned the baby back into the uterus, meticulously stitched the walls, and the mother had to remain in the hospital under strict supervision to carry the pregnancy to term.<\/p>\n<p data-path-to-node=\"5\">Six weeks after this unique medical miracle, in August 2025, Keishera went into labor, and baby Cassian Joubert was finally born into the world. Since he needed specialized medical support immediately upon birth, doctors performed another complex procedure before he could even take his first independent breath. Cassian weighed just about three pounds, because of which he had to undergo a lengthy and difficult rehabilitation in the neonatal intensive care unit (NICU). The little fighter spent four months and nine days in the clinic and was able to return home to his family exactly for the Christmas holiday, which proved to be the best gift for his parents and doctors.<\/p>\n<p data-path-to-node=\"6\">Although Cassian still requires a ventilator to breathe today and faces several more medical procedures to completely clear his airway, he is doing well and growing actively. Cassian&#8217;s unique case is such a significant achievement in the medical field that Dr. Vlastos plans to present the details of this surgery at an international medical conference in Japan. As for the Joubert family themselves, they celebrate their son&#8217;s first anniversary with special emotion, as little Cassian will now have two birthdays a year \u2013 one to commemorate the day the unique surgery saved his life, and the other for the day he truly entered the world.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu x1c1uobl x1eb86dx x78zum5 x1c4vz4f x2lah0s xjqpyvm x120eax6\" role=\"presentation\">\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu xyri2b x18d9i69 x1c1uobl x78zum5 x15zctf7 xamitd3\" role=\"presentation\">\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu x18d9i69 x1c1uobl x78zum5 xdt5ytf x1iyjqo2 x2lah0s xl56j7k x1n2onr6 x1mqs8db x1n327nk x1gabggj\" role=\"toolbar\" aria-hidden=\"true\" aria-label=\"\u10e8\u10d4\u10e2\u10e7\u10dd\u10d1\u10d8\u10dc\u10d4\u10d1\u10d8\u10e1 \u10db\u10dd\u10e5\u10db\u10d4\u10d3\u10d4\u10d1\u10d4\u10d1\u10d8\">\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu xyri2b x18d9i69 x1c1uobl x6s0dn4 xl5lk40 x78zum5 x1mqs8db x15zctf7\" role=\"presentation\">\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu xyri2b x18d9i69 x1c1uobl x6s0dn4 xl5lk40 x78zum5 x1mqs8db x15zctf7\" role=\"presentation\">\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu xyri2b x18d9i69 x1c1uobl\" aria-hidden=\"false\">\n<div class=\"x9f619 x1n2onr6 x1ja2u2z __fb-dark-mode\"><a href=\"https:\/\/www.theguardian.com\/us-news\/2026\/may\/06\/florida-infant-born-twice\" target=\"_blank\" rel=\"noopener\">theguardian<\/a><\/div>\n<\/div>\n<div class=\"html-div xdj266r x14z9mp xat24cr x1lziwak xexx8yu xyri2b x18d9i69 x1c1uobl\" aria-hidden=\"false\">\n<div class=\"x9f619 x1n2onr6 x1ja2u2z __fb-dark-mode\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>For Keishera and Greg Joubert, a family living in Florida, the beginning of 2025 started with immense joy when they learned that their two-year-old son would soon have a baby brother. However, at 19 weeks of pregnancy, during a routine examination, doctors delivered devastating news. The fetus was diagnosed with a rare pathology known as [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":20409,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1633],"tags":[],"class_list":["post-20408","post","type-post","status-publish","format-standard","has-post-thumbnail","category-surgery"],"acf":[],"_links":{"self":[{"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/posts\/20408","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/users\/28"}],"replies":[{"embeddable":true,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/comments?post=20408"}],"version-history":[{"count":3,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/posts\/20408\/revisions"}],"predecessor-version":[{"id":20418,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/posts\/20408\/revisions\/20418"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/media\/20409"}],"wp:attachment":[{"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/media?parent=20408"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/categories?post=20408"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medscriptum.org\/en\/wp-json\/wp\/v2\/tags?post=20408"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}