• About

Iris Upon A Star

Iris Upon A Star

Tag Archives: balloon dilation

Before and After

04 Sunday May 2014

Posted by LRH in Uncategorized

≈ 6 Comments

Tags

balloon dilation, Doernbecher Children's Hospital, Dr. Armsby, Dr. Kelly Ryan

Iris had her second balloon dilation on Friday in an effort to allow more blood to flow to her left lung. Her open-heart surgery resolved the larger issues associated with her congenital heart defect and tracheal stenosis, but there remains diminished blood flow to her left lung as a result of these conditions. Her first balloon dilation was back in September and the improvement from then to now is so dramatic that pictures communicate far more than I can.

Here is a photo from her balloon dilation that Dr. Armsby performed in September that shows normal blood flow to her right lung (shown on the left in the photo), and diminished blood flow to her left lung:
Dilation2014-6

And here is the photo from yesterday:
Dilation2014-2

Absolutely spectacular!

The photos are taped to my refrigerator for now, but there’s a strong possibility I will enlarge and frame them. Those beautiful branches in the photos are filled with blood flowing to Iris’ lungs. And is it ever flowing. She still doesn’t have normal flow, but from where she started to where she is now is nothing short of remarkable.

Here is Iris before her procedure with her Blazer rally towel: (and right before Dr. Kelly Ryan, our favorite anesthesiologist, walked into the room)
Dilation2014

Solana giving her a good luck kiss:
Dilation2014-4

And in recovery after her procedure:
Dilation2014-6

Recovery is my least favorite part of the day. Iris wakes up scared, in pain, and attached to heart monitors, her IV, and a myriad of other equipment and tubes. I’m thankful that they’ve always allowed me into the recovery room before she wakes up. I’m the first person she sees when she opens her eyes, and her little hands immediately reach out for me. Solana came into recovery with me this time and stood next to Iris’ bed, gently stroking her hair and whispering to her. The nurse was a little teary-eyed watching this scene play out. I’m so proud of both my girls.

We’ll follow up with Dr. Armsby in a month, and Iris will have a lung scan in the fall. Based on the success of the balloon dilations so far, Dr. Armsby thinks we may be able to wait 18 months before the next one .. fantastic news!

Iris is home resting, and I find myself pre-occupied in the kitchen .. staring at the most beautiful before and after photos I’ve seen.

The Red Thread

16 Monday Sep 2013

Posted by LRH in Uncategorized

≈ 3 Comments

Tags

balloon dilation, Doernbecher, Dr. Armsby, Dr. Langley, Dr. Milczuk, Dr. Rutter, pulmonary artery, stent

“An invisible red thread connects those destined to meet, regardless of time, place, or circumstances. The thread may stretch or tangle, but never break.” – Ancient Chinese Proverb

As I sit in Iris’ room at Doernbecher tonight, I am reminded of this proverb. An invisible red thread connected me to both of my daughters and them to each other. At the right time. At the right place. Life has presented challenges and tested every part of my core, but I honestly cannot imagine my life any other way. It is exactly how it was meant to be and, even on challenging days, I feel grateful.

So today’s news:

The balloon dilation went well. The complicated part is that the vessels coming off of Iris’ left pulmonary artery are severely hypoplastic and very close together. It makes ballooning them tricky because ballooning one might compress the other, making it difficult to get the wire in it to perform the balloon dilation. Dr. Armsby placed wires in two of the vessels before she ballooned them and was, therefore, able to balloon them both … but they’re still tiny and Iris will need future procedures. It’s the nature of her unique heart. Its imperfections are what makes it, and her, so strong and beautiful. At this point, Dr. Armsby plans to balloon the vessels once a year, and in 2-3 years they will be a sufficient size to have stents put in. The stents will be replaced every few years until Iris is fully grown. Nothing is certain, but this our plan as of today.

Here is a photo of Iris’ pulmonary arteries (the lines going up the left side of the photo are her sternal wires). You can see the line coming up from the bottom that the catheter followed to the larger opening. That opening is her main pulmonary artery, and the left and right pulmonary arteries branch off from it. The right pulmonary artery (shown left in the photo) is normal with great blood flow. It extends out and then branches off. The left pulmonary artery doesn’t extend out in the same way. Since it was wrapped around her trachea, part of it was removed … so those teeny tiny branches come off almost immediately, which is problematic:

Irisballoondilation

So today was a good day in the sense that we have a better understanding of our path. There will be plenty of doctors’ appointments and more procedures in her future, but Iris’ health is 180 degrees from where it was a few months ago … which takes me back to the red thread.

A red thread connected me to my daughters … but it also connected Dr. Langley, Dr. Rutter, Dr. Armsby, and Dr. Milczuk to us. At the right time. At the right place.

Here is Iris sleeping peacefully tonight in her hospital bed. I truly have more blessings than I can count:

IrissleepingDCH

Enter your email address to follow this blog and receive notifications of new posts by email.

Anais Nin anniversary balloon dilation bronchoscopy China Cincinnati Children's Hospital Doernbecher Doernbecher Children's Hospital Dr. Armsby Dr. Henry Milczuk Dr. Kelly Ryan Dr. Langley Dr. Laurie Armsby Dr. Mark Reller Dr. Michael Rutter Dr. Milczuk Dr. Rutter Dr. Stephen Langley God Hawaii Hefei Iris perspective pneumonia pulmonary artery pulmonary artery sling Reflection Rose Kennedy stent tracheal stenosis warrior

Recent Comments

Clara's avatarClara on Reflections
Ellie's avatarEllie on Reflections
Sue and Scott Nicol's avatarSue and Scott Nicol on Reflections
uptownepapers's avataruptownepapers on Reflections
skyhawks1's avatarskyhawks1 on Reflections
Ellie Dir's avatarEllie Dir on Warrior
uptownepapers's avataruptownepapers on Warrior
Jeannie M. Hix's avatarJeannie M. Hix on Warrior
Cathy Rudd's avatarCathy Rudd on Warrior
Gary Maffei's avatarGary Maffei on Warrior

Blog at WordPress.com.

  • Subscribe Subscribed
    • Iris Upon A Star
    • Join 40 other subscribers
    • Already have a WordPress.com account? Log in now.
    • Iris Upon A Star
    • Subscribe Subscribed
    • Sign up
    • Log in
    • Report this content
    • View site in Reader
    • Manage subscriptions
    • Collapse this bar
 

Loading Comments...