Owen was born sept 25,2012 with an unbalanced AVSD in Saskatoon. We had found out at our 20 week ultrasound that Owens heart was small and that there was a hole in it, requiring Owen to be born at RUH with access to the NICU. At 2 days of age Owen was transferred by air ambulance to the Stollery in Edmonton where his heart team was deciding if Owens left side of his heart was big enough to be a two ventricle heart or if he was going to have a one ventricle heart requiring the Norwood procedure.
Owen had his first open heart surgery when he was 11 days old to repair his AVSD and to create 2 valves – the mitral and tricuspid valves. The team decided that his left ventricle was big enough to function as a two ventricle heart. After a few months in the NICU in both Edmonton and Saskatoon, Owen was able to come home but couldn’t eat on his own so he had to be fed through a feeding tube in his nose.
Feeding was a struggle; Owen wouldn’t breastfeed or take a bottle. He was fed through the NG tube until his next surgery.
Owen had his 2nd open heart surgery in August of 2013 when he was 11 months old to repair the two valves that they had created, as they were leaking. Owen recovered well from this surgery but we knew repairing the valves was only a short term solution.
Owen had his 3rd open heart surgery just shy of his 3rd birthday in August of 2015. Dr. Rebekya replaced his mitral valve with a mechanical one. Owen is now on Warfarin to prevent any blood clots from forming on the valve. As a result of where the electrical system is in the heart, when the mechanical valve was placed it cut off the electrical system telling his heart when to beat, placing him in complete heart block. Owen had surgery for a permanent pacemaker a week later. This was a long hospital stay for Owen and he wasn’t really well when we left the hospital. He wouldn’t eat, started losing weight and was throwing up. After numerous echo’s postoperatively, Owens heart team in Saskatoon (Dr. Kakadakar, Dr. Pharis, and Dr. Pockett) found that there was a large VSD that was created accidentally at the time the mechanical valve was placed.
Owen went for his 4th open heart surgery 2 months later in October 2015 when he was 3 years old to fix the VSD that was created during the previous surgery. The hole was the size of the Dr. Rebekya’s thumb nail. Owen recovered really well after this surgery and was surgery free for 2 years (the goal was supposed to be no more surgeries until he was a teenager to replace the mechanical valve with a bigger one).
During the Summer of 2017 at one of Owen’s echo appointments Dr. Kakadakar saw that there was a build up of scar tissue under his aortic valve causing him to have higher pressures in his heart. If this was left untreated the narrowing would cut off the blood supply going to his heart and body.
Owen had his 5th open heart surgery in December of 2017 when he was 5 years old. Dr. Rebekya removed a large amount of scar tissue and also some heart muscle to make this area bigger to prevent any further narrowing in the future. Owen was only in the hospital for 4 days after this surgery as everything went well and he was recovering nicely.
Owens next anticipated surgeries will be a day surgery in 5 years to replace his pacemaker battery, and another open heart when he’s a teenager to replace the mechanical valve with a larger one. If the narrowing does return under his aortic valve he will need open heart surgery sooner to place a mechanical aortic valve to make the area bigger.
We currently travel to Saskatoon for Owens echo’s and pacemaker checks every 4-6months. We also make a trip to Edmonton once a year to meet with KIDCLOT who manage Owens warfarin. We have a point of care machine at home where we monitor his INR every 1-2 weeks and self adjust his warfarin.
Today Owen is thriving, he is 5 years old. He is in nursery school, Ukrainian dance, Gymnastics and baseball. He enjoys swimming, biking, climbing and tormenting his brother and sister. When you look at him you’d never know what he has been through.
Thank you to our heart team in Saskatoon – Dr.Kakadakar, Dr. Pharis, Dr. Pockett, Dr. Robinson, Marie, Angela, and Bob!
We were in shock and sick with fear.
Chloe was born on December 17, 2008 at 7 lbs 1 oz. She had a heart murmur but they said it is common in infants and often closes up overnight (which happened with our first child). The next day, the murmur was still there. They got an echo done of her heart. The technician wanted a second opinion. Luckily, the pediatric cardiologist, Dr. Tyrell, was in the hospital for a heart clinic that day (they are only in Regina a few times a month).
Dr Tyrell had a look and told us that Chloe had Truncus Arteriosus, which is the same CHD that my husband’s older brother was born with.
We were shocked – my brother in law has Truncus Arteriosus but he has 6 children, all with healthy hearts.
And strangely enough, Dr Tyrell had been his doctor. Basically Chloe’s pulmonary artery and aorta were connected where they met the heart in one big valve (like a tree trunk with branches coming off of it). She would need surgery fairly soon.
As we waited for surgery, we worried whenever she cried as her oxygen levels would dip. Finally, at 6 weeks old we took Chloe to Edmonton to the Stollery Children’s Hospital for her first open heart surgery.
Dr Rebecca performed the surgery and everything went well. We stayed there for about 10 days and then were transferred to the hospital in Regina for a couple of days before going home with strict guidelines to wean her off of a couple of diuretics and morphine. She would need to continue to take aspirin daily to prevent her body from clotting in her new conduit/valve.
When Chloe was about 2 years old, she had a cardiac catheterization to buy some more time until her next surgery. They had said at her first surgery that the conduit they put in wouldn’t grow with her and that as she grew it would narrow, requiring another surgery. They had estimated we would have 5-10 years. However, Chloe was growing fast – in the 98th percentile and very active. They did the cardiac cath to widen the conduit a little.
When she was almost 4 years old, she started to tire very easily and her lips would turn bluish if she was running around lots or working hard. We were sent off to Edmonton again for her second open heart surgery. This time we were able to stay in the Ronald McDonald House and what a blessing that was. We went up a few days before surgery for an MRI and pre-op tests. And we spent the days before surgery visiting every park close by that we could because Chloe knew she would not be able to do the monkey bars for 6 weeks after her surgery.
She recovered very quickly from the surgery and very shortly after surgery she was wanting “real food” -not just sips of water and an occasional popsicle. We were able to go home after just 7 days! She is one determined and tough young lady.
Since her last surgery, Chloe has been doing exceptionally well. If you didn’t know, most of the time you wouldn’t be able to tell she has a heart defect.She is now 9 years old and very active. She loves the monkey bars, trampoline, bike rides, gymnastics and art.
In the fall of 2017, she started to get recurring fevers for no apparent reason. She didn’t feel sick and would be fine all day and then get a fever for a few hours in the evening. This happened for awhile and couldn’t see anything wrong. One night we took her to the ER and they ran tests but didn’t see anything concerning and told us it was probably a virus. But it wasn’t going away. I took her to the pediatrician, who examined her and talked to the cardiologist in Saskatoon. They suspected she had endocarditis (an infection in her heart), but the blood cultures had not shown anything. We immediately drove up to Saskatoon.
In Saskatoon, they did another echo, a transesophogial echo, and blood cultures every 8 hours for 24 hours. Finally, one of the blood cultures came back positive and they knew exactly what bacteria they were dealing with. There was a higher gradient (higher pressure) in her conduit, so they were guessing that was where the infection had “set up camp”.
They put a PICC line in Chloe’s arm and we started IV antibiotics. We stayed in Saskatoon for about a week, and then went home on IV antibiotics for 5 more weeks. I had to learn how to use the IV pump and give her her medications. She had two different antibiotics and we had to give her an IV 7 times a day. The hardest part for Chloe seemed to be missing gymnastics.
Now the infection seems to have cleared and she is back to doing gymnastics. She is one of the strongest people I know.
While our journey has not been easy, it has taught us greater patience, strength and faith. It has made Chloe the kind, strong and compassionate girl she is. It has taught us to cherish the little things and celebrate our family.