Well the time has come again for us to head back up to Philadelphia for Elliot's second heart surgery. We were originally thinking that it would be in January, but his O2 saturations have remained lower than where the doctors would like so we've moved the surgery up a bit. For some history, Elliot was diagnosed with HLHS before birth and had his first heart surgery at 6 days old. It'll take two more, including the one on Friday, to get his heart to a stable state.
Sunette and I have mixed emotions about this surgery. We're eager for it to get here, hoping that it will be the answer to Elliot's nagging issues with his O2 sats and a few other things. Maybe he can finally live like a normal little boy and stay out of the hospital for a while. On the other hand, we're very nervous about this procedure. Besides the fact that it's another open heart surgery, on a 4 month old, we're worried how his lungs are going to react to this one.
See, one of the issues with him all along has been that his lungs have increased pressure in them, which makes it difficult for the blood to flow to his lungs. In turn making it difficult for his body to get the oxygen it needs. Right now, he has a shunt connecting the aorta to the pulmonary arteries, so every time his heart beats to send blood to the body, part of it goes to the lungs. So he actually has his heart pumping blood to the lungs right now. In the surgery on Friday they will remove the shunt and connect the blood flow coming back from his upper body to the pulmonary arteries so that the blood simply drains into the lungs, rather than being pumped there. The problem is, if he has increased pressure in his lungs, the blood may not go there, meaning he won't get enough oxygen.
So that's our concern. We won't know until well after the surgery how he's going to do. I'm thinking this may be a long recovery. Our anticipation is to be at CHOP for a month or so. We'll see.
For additional information here are some diagrams that show a HLHS heart prior to surgery and then what happens in the three surgeries. As you can see they liken it to a house so maybe that'll help you picture what's going on. Thank you guys for the thoughts and prayers.
