Sunday, October 7, 2007

Trying to keep this up to date

To all who visit: please be patient with me in getting out all new info on Ava. As of now she is stable, opening her eyes (such a wonderful gift) and being loved by her Mommy, Daddy, big brother Brayden and the rest of her family and friends. I will provide as much info as possible in the following days. Please feel free to post any comments or questions. But most of all, keep Ava in your prayers.
Thank you.

9 comments:

Michelle Asmus said...

Zimmermans-
I left you a message yesterday on Molly's site. So glad you now have your own. Barb and I will pass it along to the staff.

Thinking of you all the time-
Love, Michelle

Sara Grishaber said...

Jamie, Jamie, Brayden and Ava,

Ava is such a beautiful little girl. I can't wait to see her in person. Zeke and Abby are doing great! I stopped by to let them out and we played some ball. Stay strong. We're all praying for Ava and your family.

Love always,
Sara

Anonymous said...

Hi Zimmerman Family,
You have been on my mind constantly and I just wanted you to know that we are all praying for beautiful Ava. Jamie, you be sure to take care of yourself and believe in the power of prayer. It's sounds like God has given Ava a personality that is determined to fight whatever comes her way. Sounds a little like her mommy, don't you think?
God's Love and Mine,
Beth

Juli F. said...

Boy Jamie and Girl Jamie,

Our family is praying for you every day. Ava is absolutely precious and she is showing her family the true meaning of being a girl: STRENGTH and DETERMINATION! We love you all and will continue to pray each day for Ava, your family, and all of those that are taking care of her.

May God's love give you strength.

Much love,
The Findeisens

Susan said...

Jamie,

Michelle passed this site on to me. Ava is absolutely breathtaking!!! I'm so glad you are receiving such excellent care! Jonah has missed you and will be excited to see the pictures. Praying for you daily.

Susan for the Hannafius'

Judy Bybee said...

Jamie,

What a beautiful daughter! My thoughts and prayers are with you all. Keep the faith! Miracles happen every day as you have already witnessed at the hospital. Thinking of you and praying for you ...

Judy Bybee

Anonymous said...

good luck with the baby
love the Jordans Roy, Pam,Seth,Jesse, and Olivia

Anonymous said...

Zimmermans,

Ava is so cute.Keeping you all in my thoughts and prays.stay strong

Kim (Grishaber)Mulhern

Anonymous said...

Jamie,Jamie,Brayden and little Ava,

My thoughts go out to your family, I will keep little Ava in my prayers. Tracy keeps us updated at work and we have a picture of her in the office. Such a beautiful girl and a fighter. My heart goes out to you all.

Love and Hugs,
Colleen (Wings etc.)

Ava with Mommy & Daddy

Ava with Mommy & Daddy
Isn't she beautiful!

It's A Girl!

Hello everyone and welcome to Ava Christine's Blog.
First a little info about the new edition to our family.
This beautiful little girl comes to our family after many years of trying on her parents part as well as her being the first girl in 19 years. Yes 19 years! So to say that she is going to be a little spoiled is putting it very lightly.
Ava Christine was welcomed into this world on September 29 2007 by her mommy Jamie, Daddy Jamie, big brother Brayden, grandparents, aunts, uncles, cousins, and numerous friends. Shortly after Ava's arrival the wonderful medical staff at Memorial hospital of South Bend found what they called a murmur in Ava's heart. After some testing little Ava was transported to Motts' Children Hospital at the University of Michigan in Ann Arbor. Jamie and Jamie were informed that little Ava has a heart defect that could be life threatening and that she needed to undergo open heart surgery to fix the defects. So, on Tuesday October 2 2007 Ava was operated on by the wonderful medical staff at the U of M. What this team of doctors did to Ava is incredible. First of all Jamie explained to me over the phone today just what problems Ava's heart has endured. Ava's heart has a couple of different problems. The first is known as Interrupted Aortic Arch. The following info about interrupted aortic arch is best explained by the U of M Cardiac website, "Interrupted aortic arch is a very rare heart defect that occurs when the aorta does not develop normally while the baby is in the mother’s womb. It comprises about 1% of all congenital heart defects. It usually occurs along with other heart problems such as truncus arteriosus, ventricular septal defect, transposition of the great arteries, and aortic stenosis.The aorta is the large blood vessel that arises from the left side of the normal heart and takes red blood out to the body. The first part of the aorta, called the ascending aorta (1) arises upwards. It then curves leftward forming the aortic arch (2). The aorta then curves downward towards the lower body, and this part is called the descending aorta (3). Three blood vessels exit from the aortic arch and supply the head and arms with red blood. These vessels are called the innominate artery (4), the left carotid artery (5), and the left subclavian artery (6).In babies with interrupted aortic arch, there is a complete blockage between the ascending and the descending aorta (1). This means that there is no direct way for red blood leaving the heart to reach the body parts that are "downstream" from the blockage. The site of the defect varies (2) and may or may not involve the take-off of the head and neck vessels. In most babies with interrupted aortic arch (70-90%) there is also a large ventricular septal defect (3).In newborns with interrupted aortic arch, the only way for blood to bypass the blockage is via the patent ductus arteriosus (4). Prior to birth, this small blood vessel permits blood to by-pass the baby’s fluid-filled lungs. One or two days after birth, this vessel usually closes on its own. In a baby with interrupted aortic arch, if the duct closes, blood can no longer reach the lower body. This can cause the baby to suddenly become very ill. Therefore, after the diagnosis is made, a medicine called prostaglandin is used to keep the ductus arteriosus open until surgery". (http://www.med.umich.edu/cvc/mchc/parint.htm)
So how did the doctors fix this? "Interrupted aortic arch is a serious heart defect that requires surgery soon after birth. The goal of surgery is to create remove the blockage. This used to be done in a two-stage operation but is now done most of the time in one stage. The two ends of the aorta are sewn together (1) and the patent ductus arterious (2) is tied off. Sometimes a patch is needed to reinforce the repair. If present, a patch is sewn over the VSD (3)". (http://www.med.umich.edu/cvc/mchc/parint.htm)
In #1 of the picture below is the part of Ava' heart that was repaired.

Before surgery

Before surgery

The Next Step

The next step in repairing Ava's heart was to fix what is known as Truncus Arteriosus. Truncus arteriosus is "characterized by a large ventricular septal defect over which a large, single great vessel (truncus) arises. This single great vessel carries blood both to the body and to the lungs". (http://www.americanheart.org/presenter.jhtml?identifier=11073) Below is a picture of what Ava's heart was like before surgery.

Before Surgery

Before Surgery

After Surgery

After Surgery
The above picture shows what the surgeon did to repair Ava's heart. "Surgery is required to close the ventricular septal defect and separate blood flow to the body from blood flow to the lungs. This is generally done early in infancy to prevent high blood pressure from damaging the lungs' arteries. A patch is used to close the ventricular defect. The pulmonary arteries are then disconnected from the single great vessel and a tube (a conduit or tunnel) is placed from the right ventricle to these pulmonary arteries. This is sometimes called a Rastelli repair". (http://www.americanheart.org/presenter.jhtml?identifier=11073)