Paul has had an eventful few weeks. He got to visit quite a bit with his Mom-Mom (Dan’s mother) and has been growing like a weed! The clinic appointments/ echos are going well. We learned of a major step in this journey yesterday.
On March 2nd Paul will undergo cardiac catheterization (heart cath) in preparation for his second surgery. Heart caths involve the insertion of a catheter into a chamber or vessel of the heart. This is done for both investigational and interventional purposes. Caths frequently are performed preoperatively to ensure that the hemodynamics are suitable for surgery, to further define anatomy, and to intervene on lesions that could be problematic at the time of surgery, in the immediate postoperative period, or in the long-term. This is routine in preparation for the second surgery. Barring complications, Paul will spend one night in the PICCU and go home afterwards. He will be sedated and ventilated for this procedure so it is still fairly scary. We will receive the results of the cath the same day and then will know if, when, and how the second surgery will be preformed.
The second surgery, the Glenn or Hemi-Fontatn, involves redirecting oxygen-poor blood from the top of the body to the lungs. The pulmonary arteries are disconnected from their existing blood supply (Paul’s Sano conduit). The superior vena cave which carries blood returning from the upper body, is disconnected from the heart and instead redirected into the pulmonary arteries. The inferior vena cava, which carries blood returning from the lower body, continues to connect to the heart. At this point, patients are no longer in that delicate balance, and the single ventricle is doing much less work.
We are so thankful to all of you for praying for us. Please continue to pray for Paul’s wellness and strength as we gear up for round two!