discussion title:
Here we go again - Elena and CHD :(
Well a couple of years of ignorance and denial have gone by, but yesterday the pediatric cardiologist gave us the bad news that Elena has the same heart defect as Emily. It's mild so far, but Emily's started that way as well, so I'm figuring that some day we will be scheduling open heart surgery for Elena.
For those that don't know about this, Emily had surgery at age 6 to correct a supravalvular aortic stenosis. It was detected when she was a baby and she went regularly for echocardiograms to monitor the defect. It's a narrowing of the aorta (the major vessel carrying oxygenated blood away from the heart to the rest of the body) above the aortic valve. It's obviously a genetic issue with this generation of our family as my sister has 2 out of 3 kids with the same issue, one had surgery 2 times, the other once. All have come through well (Eventually, that is. My sister's oldest nearly died after his first surgery, but we got a miracle from God! He whizzed through his second surgery like a champ.), so if I had to pick a medical issue for my kids, I would pick this over cancer, etc., but still, we now have the weight on our shoulders again, waiting for the hammer to fall, again.
Elena has a murmur since birth, but up to this point, they only noted a mild pulmonary stenosis. She did not have an echo last year due to her inability to cooperate. She did a really good job lying on the exam table for the echo this time. It helped that she got to watch Elmo on video while the tech was doing his job. We have to go back in 6 months to see if anything has changed. Surgery will be scheduled at such time that her pressure differential (before and after the valve) goes above a certain point and/or the left ventricle starts to show signs of thickening because it's working too hard to pump blood through the narrowed aorta.
So, although we've been through this and know that the outcome is very good, it's still hard to hear.
Thanks to Chris for my great siggy
