Tyler is scheduled to have heart surgery on Monday morning at All Children's Hospital in St. Petersburg. So, yesterday we made a trip over to All Childrens for Tylers pre-op testing. At this appointment they did some labwork, x-rays, EKG and had a physicians assistant check him out to make sure he is nice and healthy for surgery. Although we did not get to speak with our surgeon, we did speak with his nurse about what's going to happen during surgery.
HLHS is treated with a three stage surgery. Tyler has had the first two and is ready for the third stage called the Fontan. But there is another problem that Dr. Jacobs needs to address before doing the Fontan. One of his valves in his heart, the Tricuspid Valve, has a moderate leak and needs to be repaired. This problem is called Tricuspid regurgitation and basically means that when his right ventricle contracts to pump blood forward to his body, some blood leaks backward into the right atrium this decreases the amount of blood being pumped to his body.
This is not new information, we have known about his Tricuspid valve since before birth and knew that it would most likely need to be fixed at some point. Dr. Jacobs feels he needs to go ahead and address this now instead of in the future. So, the plan for this surgery is for the main focus to bo on repairing his Tricuspid Valve with the possibility of doing the Fontan as well. Surgery will start at 7AM monday morning.
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