Rudy had an appointment with Dr. Harake this morning. Today’s echo showed the same enlargement of the right atrium and right ventricle as last month. As would be expected in a heart where the right atrium and ventricle are pumping blood to both the lungs AND the body, Rudy’s 1/2 a heart is overworked. The rerouting of the circulatory system between the heart and lungs that happens in the Glenn and Fontan surgeries would help to relieve the extra pressure on the heart but outside the surgeries, there isn’t anything we can do about it. The relationship between Rudy’s enlarged heart, pulmonary pressures, collaterals, etc is so intricately intertwined and the need for the Glenn and Fontan becomes more urgent to us as our understanding of it all becomes more clear!
Another common complication in Rudy’s condition is a “leaky” tricuspid valve as a result of the valve not closing properly. Dr. Harake has detected mild leakage for a while but today he feels the leakage is increasing from mild to more moderate. For now, we will treat it with an increase in medication he’s already taking but there is a chance surgery will be needed to repair it down the road…we’ll keep an eye on it. Today’s appointment left me with some questions for Drs. Dan and Harake when we consult with them after the cath.
Rudy is second on the schedule on Wednesday but we’ll need to report to the hospital at 6am just in case the schedule changes at the last minute…it’ll be an early departure for us from Santa Barbara which is becoming the custom. 🙂 Thank you for your prayers and words of encouragement…we’re so grateful for you!