After another echocardiogram and cardiac catheterization, I met with Naya's cardiac surgeon at Rady's last month. We discussed the conclusions their team has come to, and all the risks and benefits of several possibilities for me to consider. Her diagnosis is mitral atresia with double outlet right ventricle, moderately hypoplastic left ventricle, with multiple ventricular septal defects. A mouthful of words that I've slowly figured out the meaning of.
The doctors have decided that she will have one surgery, a Fontan, versus breaking it into two separate surgeries with the same outcome. The question is when. At the moment Naya's heart is pumping twice as hard as a healthy heart, because one ventricle (versus 2) is pumping to both the lungs and the body. So while she doesn't have any other symptoms, and seems generally healthy, the work load will take a toll on her heart over time. If we wait, it may wear her heart out.
The downside of performing the surgery now is that as it is not a long term 'fix' for her condition, it brings along eventual side effects, needs for medication, and other potential serious problems. It sucks to start the clock on those things, when she's living as such a healthy child right now.
What it comes down to is no obvious right answer, but it seems that the best choice is for her to have her surgery in the near future, and take the work load off of her heart. We're going to talk again after the holidays, but are tentatively planning for her open heart surgery in February of 2014.
So please keep Naya, her doctors, and myself in your prayers for wisdom and direction. It can be hard to think about the difficulties she may have ahead of her, but God has truly given me a peace, and a belief that she is going to be okay. For a long, long time.
I'm claiming this one for Naya,
"Because you love me, I will rescue you.
I will protect you because you know my name.
When you call to me, I will answer you.
I will be with you when you are in trouble.
I will save you and honor you.
I will satisfy you with a long life.
I will show you how I will save you."
And now, a moment of silence for my high heels of Halloween costumes past. This was my first year for flats...it felt like somewhat of a betrayal to who I am. But to be honest it is probably time, I abused my feet for the last 15 years, and they deserve a retirement.