Day of Post Fontan

Steele and his team did it! Here's the breakdown:

645am: Anesthesia & sleep
715am: Insert lines (IV, Arterial & PIC)
845am:  Dissect, longest part of surgery is getting through scar tissue from previous 2 surgeries
1045am: Started Bypass
1100am: Surprise decision to reconstruct pulmonary arteries where they were stuck to aorta
1230pm: Aortic Arch reconstruction
130pm: Fontan surgery started (shunting blood from inferior vena cava to the lungs)
230pm: Fontan partially complete, begin tricuspid valve repair
245pm: Finish valve repair and other half of Fontan
300pm: Surprise decision to tuck a diaphragmatic hernia back in place since they were in there
315pm: Echocardiogram to make sure all heart repairs working before closing him up
345pm: Closing Steele up
500pm: Moved out of OR into PICU

Essentially two extra things were done that were not anticipated, and this is why the surgery lasted 7 hours.

We are back in the PICU with him now.  For the first time ever, we are seeing his oxygen saturation levels above 90%! They do not plan on extubating (removing ventilator) until tomorrow morning.  He just started to wake up and his vitals are being translated by one of the doctors that he is angry.  Totally understandable, buddy. We are sorry you had to go through all of this today and we can't wait to help you recover and heal.