- Chase will have the bidirectional Glenn procedure. At a VERY high-level (I have no medical degree, folks), this basically means removing the gortex BT shunt that was placed during his first surgery, disconnecting his superior vena cava (SVC) from his heart and connecting it to the right pulmonary artery (RPA).
- Dr. Bradley will also patch Chase's pulmonary arteries (both right and left) since both of them are narrowed. This will help make them larger and is very typical for this procedure.
- While his echos have shown a mild to moderate leak in his tricuspid valve, Dr. Bradley does not plan to address this during tomorrow's surgery. The circulatory changes with this procedure will relieve some of the workload from his heart, which should in turn decrease the valve insufficiency.
- The narrowing of Chase's aorta (coarctation) may or may not be addressed tomorrow. Basically, the cath procedure from last Thursday, where they ballooned the narrow section, did increase the size a bit but certainly not enough to eliminate the added pressure of blood flow through the area. This causes unnecessary added stress on his heart. Dr. Bradley will attempt to get to the coarctation and see how difficult it would be to access the area through the scar tissue. If he feels he can get to it safely, he will do so and will patch the area similar to how he'll patch the pulmonary arteries. If he can't address the coarctation surgically, we'll be bringing Chase back to MUSC in a few months for another cath procedure to balloon the narrowing. We'll continue to repeat this until the narrowing goes away.
So that's our game plan in a nutshell. We'll take Chase in at 5:30 AM, head to the surgical holding area, and they'll take him back to begin around 6:15 AM. Anesthesia will get started first and prepare the way for Dr. Bradley to begin around 7:30 AM. The longest part of the surgery will most likely be cutting through the scar tissue that's formed since his first surgery -- this could take 1 to 3 hours, depending on the amount of scar tissue. We will get a pager around 8AM and should receive our first update on Chase at 9:00 AM. I will update the blog, Facebook and Twitter with each of the pager messages I get, which should be close to hourly starting at 9AM.
Please pray along with us for a successful surgery. I know Chase is strong and I know God has a plan and purpose for his life. I know this is the road God chose for us and for Chase before he was even conceived and I am proud to walk this journey by his side. I am so very thankful for my husband, who is holding my hand along the way, and for the blessing of our sweet LO. And for the support of our family and friends who have lifted us up in prayer. God has been so good to me and to my family, and I believe His grace is sufficient to see us through another surgery as His power is made perfect in our weakness (and boy do I know I'll be at my very weakest in the morning when I hand my baby boy over for another heart surgery!).
Thank you in advance for your thoughts and prayers tomorrow!