Jasper's Surgery!

6:47 am CST December 2, 2008
*********UPDATE**************** They had a big conference Tues AM, 60 dr.s and Jaspers Case was the highlight, apparently his heart is very unique, and doesn't fit any one type of diagnosis exactly. So everyone had quite a time discussing it. They are not sure which procedure they will end up doing Wed am, either a shunt (which will require the complete repair in a few months), the complete repair, or a little of both. Dr. Bacha said if he had a child with a CHD and lived anywhere in the world, he would bring him to Children's in Boston, as they have the best heart care. We are hoping and praying they can help Jasper's heart too. ************************************************************ Looks like Wed, Dec 3 is the big day. We are excited and very nervous for our baby. If all goes well, we can expect a 7-10 day recovery period and then Jasper can come home. We really need all your prayers and positive thoughts in the next couple of days to keep Jasper safe and strong through this difficult time for all. ************************************************ Rastelli Procedure Also called: Rastelli Operation, Rastelli Switch * The ventricular septal defect (abnormal hole in the wall between the right and left ventricle) is closed with a Dacron patch. ************************************************ * The surgeon creates a valved conduit between the right ventricle and the pulmonary artery. A valved conduit is a tube made of fabric, human tissue from a cadaver or part of the patient’s own pericardium (the sac that surrounds the heart). Within the tube is a pulmonic valve made of other organic tissue (a biological valve) or man-made tissue (a mechanical valve). The pulmonic valve will alternately open and close in precise time with the heartbeat, allowing blood to flow only in one direction and only at the right time. This allows blood to be pumped by the right ventricle through the valved conduit and the pulmonary artery to the lungs. ************************************************ * If present, a damaged pulmonic valve will be surgically closed because it cannot withstand the high pressures created by the narrowed or blocked valve. ********************************************* * If necessary, muscle from the right ventricle that is either enlarged or obstructing normal blood flow in the heart is removed. ********************************************* Once the procedure is completed, the heart incision is closed, the heart is allowed to restart, blood circulation and oxygen are restored to the heart, bypass circulation is suspended, and the chest incisions are closed.

Jasper's Surgeon Emile A. Bacha, MD Clinical Title Senior Associate in Cardiac Surgery Academic Appointment Associate Professor of Surgery, Harvard Medical School Board Certification(s) Surgery, Thoracic Surgery Language(s) French, German, Arabic Professional History College Ruhr-University-Bochum, Bochum, Germany Medical/Dental Schools Ecole de Medecine Cochin-Port Royal, Paris, France Ludwig-Maximilians-University, Munich Medical School, Munich, Germany Residencies General Surgery, Emory University School of Medicine Affiliated Hospitals, Atlanta, GA General Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA General Surgery, Klinikum Grosshadern University Hospital and German Heart Center, Ludwig-Maximilians-University, Munich, Germany Massachusetts General Hospital and Childrens Hospital Boston, Boston, MA Fellowship Research, Laboratoire de Chirurgie Experimentale, Dpt. of Cardiothoracic Surgery, Hopital Marie-Lannelongue, Paris-Sud University, Paris, France

POSTED BY JaspersMom

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