Evan did well during the heart cath yesterday and surprised me by being extubated when he came out. In order to prevent blood clots from forming he had to lay flat on his back and keep his left leg straight using a little Velcro stint for 6 hours. He wasn’t a happy camper but who can blame him. We made it to the 6 hour mark at 10pm and his chugged down a bottle and we settled in for a good night sleep. Last night was the best night of sleep I ever got in the CICU. His nurse closed the door to the room and the curtain and the monitor only went off a couple of times.
Evan’s cath showed that his pressures are in fact extremely high due to pulmonary hypertension. The veins didn’t look bad. The upper right which has been the problem child had a bit of a higher gradient so they ballooned it in order to open it up and the gradient went down. So now the issue is how do we manage the pulmonary hypertension. Pulmonary hypertension causes the heart to work very hard. Evan’s heart function is good despite the high pressures (Look at God) but we need to improve the condition to take some stress off of his heart.
Here is information explaining pulmonary hypertension. pulmonary hypertension