Riley International Heart Missions

Riley/Gift of Life/Chain of Hope Lebanon Humanitarian Mission #2 -Day 3

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Our patients all did well overnight.  The 4th patient, Fteim was extubated around 8 pm.  One by one we anticipate these patients will be moved out of the CVICU today.

Madien feeling much better today on post-op day 1!

Today we plan on 3 more patients. The first patient is Hammoud Allou – a one year old originally from Aleppo, Syria. His family moved to Lebanon 2 years ago. He has 3 siblings, with one who also has significant heaLth problems too. He is here with his mother and grandfather as his father is also at home with chronic health problems. Hammoud was diagnosed since infancy with severe tricuspid and pulmonary stenosis, hypoplastic right ventricle and previous right BT shunt. This a form of single ventricle, and today Dr. Turrentine performed a Glenn operation with BT shunt takedown. His previous operation was done from the front, and the scarring made it challenging to get safely back to his heart to do this procedure. However, it all went well. Due to some post-op bleeding we likely may keep him intubated tonight.

Dr. Amanda and Dr. Mark in the operating room with Hammoud

Heather, Sheila, and Riad in the CVICU

While this operation was proceeding, Dr. Al Rassi was operating on an eight month old patient named Fatima Farhan. She has tricuspid valve atresia with a very small right ventricle and another version of a single ventricle. Dr. Al-Rassi also performed a Glenn operation, as well as enlarging her left pulmonary artery. She is also from Syria but her family moved to Lebanon 4 years ago after the family’s home was destroyed. She did well with today’s operation and was expected to be extubated shortly after surgery.

Dr. Issam Al Rassi with Fatima

Our third case was with Nour Jomma. A nearly 3 year old with a large VSD. Her family left Syria 6 years ago and live in northern Lebanon. Her grandmother is with her and described living under Isis for 3 years. She has many stories about their brutality. She escaped her home and traveled by foot and car for 6 days to reach Lebanon. She shared how much suffering the Syrians have gone through in the areas controlled by Isis. Nour clinically she seemed to be in congestive heart failure. But a cardiac catheterization suggested high pressures in her lung arteries that could make her situation much more risky. Fortunately in the OR things appeared much more favorable, and her VSD was closed without complication.

Nour Jomma with her dad – not so sure she wants us to check her sats preop

After our cases, we had a wonderful and informal gathering with many of the patients we cared for on our first Lebanon Mission last year. They are all well, and appear as happy and beautiful as we all could hope.

Of course they all lost their smiles just as we took the picture. And the 2 on the right are heading for the food table. 😂

As always, we are tired by the end of our days, but having an amazing time partnering with the great people from Lebanon to provide heart operations for these deserving children.

Dinner at our hotel. Well, …soon. The amazing food is on its way.

By the way – I will go back and add some family details on our patients as I am able to. Just working through my language barrier. So please go back to see today’s and previous days’ posts if you’re curious.

Written by tcordes757

April 30, 2019 at 8:08 pm

Posted in Uncategorized

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