Dr. Hsia came to speak to us after getting Derrick settled in the PCICU. He was very pleased with how the surgery went. He said that he was glad they had decided to go ahead and widen the ASD because the wall was thick and there was no way it would have widened on it's own. If he wouldn't have done it today, Derrick surely would have needed another surgery before the Fontan.
Dr. Hsia widened D's pulmonary artery branch (near where the shunt was attached) using a "generous" bovine patch, so the stenosis there is gone and he shouldn't have any pressure problems in it. The Glenn procedure was done and went well. While they were still in the OR D's pressures were fluctuating a little, but still within a range that he was comfortable with.
He said that when it comes to Derrick's Fontan, it will be a little more complicated than the standard Fontan because of the "randomness" of his heart. He said that it was nothing that couldn't be done, but that it would be a little trickier. Of course this wasn't comforting to hear, but he assured us that it wasn't something that hadn't been done before. He said that Derrick didn't have the standard Glenn today either. Glad I didn't know that ahead of time! :)
When we went back to see our little man, he looked pretty good. He wasn't too swollen; still recognizable. He was trying to wake up and really moved around when he heard us come in. They had to restrain his arms and give him more meds to keep him calm. Does it surprise anyone that he was trying to move around right away? :) Not me!
Our Little Hero
Nona, Poppie, Mamaw, and Papaw went back to visit and another surgery case came in, so Justin and I went back to the Ronnie and took a quick (and VERY much needed) nap. We went back to see D and he was doing great. They had already done two CPAP trials to see if he was going to tolerate coming off of the ventilator and he had done great. All of his blood gasses had been good, and we were told to expect extubation tonight!
At about 11pm, the little guy was extubated and he has been doing great since then. He seems so much more comfortable without that tube down his throat, and has been resting more comfortably.
It's been more difficult this time watching him after surgery. He is agitated and gets upset when he hears our voices. He knows he's not at home, and knows he wants to be held. It makes me so sad to hear him whimper with that hoarse little voice and not be able to scoop him up and comfort him.
I have more to say, but seriously I hope everything I've written so far has at least made a little since because I'm exhausted. We'll update more tomorrow.
Thanks again for all of your messages and prayers. Please continue to pray for D. He has a LONG way to go! Thanks to the best prayer warriors ever!!