In March, Asher’s cardiologist, Dr. King, had a stroke, which has left him out of the office for quite awhile, so we had to reschedule Asher’s checkup with a different doctor in April. He told us Asher’s aortic arch (the part of the heart where the blood comes out to go to the body) had some narrowing from scar tissue, he recommended coming back in July for a follow-up to see if he would need to have a heart cath procedure to balloon or stent open his arch. We were hoping Dr. King would be recovered and back by then, but we were a bit taken by surprise when the other cardiologist called us the beginning of May saying that after reviewing Asher’s case with his colleagues, they all recommended doing the procedure right away. Asher’s heart already has to work harder than other hearts, and prolonging the time it has to work extra hard to push the blood out could have some long-term effects. We scheduled for two weeks later, May 18.
Although worried about Asher, we knew this was a fairly simple procedure with low risk that often does not even require an overnight hospital stay. We were grateful that this was something that could be repaired through a heart cath instead of open heart surgery! However, it’s always sad to see Asher have to go through things like this, and to know it’s only the first of many more heart caths he will have throughout his life.
The morning of his procedure, he woke up happy and waited patiently and happily at the hospital, even though he hadn’t had anything to eat. They changed the time of his procedure without calling to tell us, so when we got there, it was almost the scheduled time for him to start. It worked out pretty nicely though because they hurried him through the pre-op procedures and then took him right up to the cath lab without much waiting around. They gave him some versed medicine, which calms their nerves, and he was all relaxed and calm when I handed him over to the anesthesiologist.
The boys made Asher some cards to take with him. Davis’s was especially cute, with the ABCs on the back since Asher loves his letters, and the note inside saying, “I hope you have a good little surgery!”
The procedure took about four hours, and Dr. Keyser, the one performing the cath, came with pictures on the report that everything had gone well. They were able to balloon open the arch without needing a stent, for now at least. They also coiled off several capillaries that had started to grow around the pulmonaries, which cause his heart to work harder too. They told us his heart looked great and that he would be a great candidate for the Fontan surgery next year, and should really do well with that.
After they took us over to the recovery waiting room, they said Asher was resting in recovery, and this his anesthesia would take another 40 minutes or so to wear off. Shane went to grab us some lunch, but within minutes of him leaving they came out to tell me he was waking up and crying pretty hard. He had to keep his leg still for an hour, so I hurried in and helped keep him calm during that time. He slept off and on for that hour until we moved over to the day surgery rooms for him to finish his recovery. He had to lie on his back for four more hours, keeping relatively still. Unfortunately, he didn’t rest too much, but I stood by him, keeping him still, while he watched some shows. He also loved the apple juice they brought in to him and kept asking for more! He was happy to leave later that afternoon around 4:30 to go home.
The rest of that day, he did pretty well, and he slept pretty good that night, but Tuesday through Thursday were pretty rough days as he didn’t feel good, had a low-grade fever (normal for a few days), and had a hard time sleeping. Shane and I took turns sleeping in his room at night on a mattress on the floor as he would wake up frequently and need reassurance to go back to sleep. He got lots of TV time as he rested and recovered!