ASD
PS
situs inversus with dextrocardia
I've been struggling to write this post, because I really don't know where to start. So, I've started with Shawna's cardiovascular diagnoses.. its a wee bit more complicated than we originally thought. All four are listed above. Yes- there are four of them. 3 of the 4 were discussed in the last post. The "VSD" diagnosis is now being replaced with the DORV diagnosis (double outlet right ventricle). She still has a VSD, it's just part of a more complex diagnosis called DORV. She has a double outlet in her right ventricle.... meaning that she has 2 vessels that leave her right ventricle, rather than just one. Both her pulmonary artery AND her aorta come from her right ventricle. In normal anatomy, her aorta would branch off the LEFT ventricle, not the right.
I'm not going to spend a lot of energy defining and describing each of these conditions. Frankly, I'm still learning about it myself. For the medically savvy, her condition is very similar to ToF (Tetralogy of Fallot) . For the curious, the above diagnoses have HTML links embedded. So, just click on the disease of interest, and another page will open with more information. You can get back to this page with the "back" button on your browser.
It's a lot of information to digest in a short period of time. And, frankly.. I don't think that we've digested it completely. We still have at least 2 more rounds of pre-op testing. First, we are scheduled for a MRI on Tuesday morning. And, on Friday Oct 2nd, we have our regular pre-op meeting/ tests. I'm hoping that these tests don't "find" anything else. Sigh.
So, the million dollar question: What the heck does all this mean?
Answer: I don't know yet.
Yes- she still needs open heart surgery. That didn't change.. EXCEPT her surgery will probably be a little longer than we initially anticipated. Outside of that.. I don't know . Her O2 saturation levels have been pretty good (95-97%) and she hasn't displayed any signs of heart failure. Her lungs? Well, I know that the pulmonary stenosis has protected her lungs... And, since no one has referred us to a Pulmonary specialist , I am cautiously optimistic that her lungs are just fine. As you all can imagine, I have A LOT of questions for our cardiothoracic surgeon. So stay tuned... there will be more to follow on that.
As for us.. we are all doing pretty well. Shawna is adjusting so well! It's amazing to watch the transformation as it occurs daily. You'd never know that her heart and organs are all mixed up and backwards!! She's every bit of a normal toddler now. She even got in trouble last night for trying to play with an electrical outlet. Now, I know that sounds weird... but, toddlers are supposed to get into stuff! (And, yes- we have outlet protectors.)
We are adjusting to life as a 'party of five' and it's been pretty darn good. Stay tuned for more later this week..
Lori