"Scars are a map of your heart's adventures."
—Anne Lamott
I'm on my make-a-wish trip and
My name is Levi
Levi is an amazing soon-to-be 8 year old (on January 30th) living with Hypoplastic Left Heart Syndrome (HLHS), a rare heart condition he's been battling since birth. Levi has a big love for monster trucks, Transformers, and the color orange, and he’s thrilled to have chosen to go to Give Kids the World Village for his Make-A-Wish. He's most excited to order pizza to his room, go to the arcade, and enjoy plenty of ice cream for breakfast!
Thank you for being a part of Levi's Zipper Club Crew:
Hi there! By taking the time to read this, you’ve officially joined Levi’s Zipper Club Crew—a group of people who carry a little piece of his story in their hearts.
The term "Zipper Club" is a term of endearment used within the heart surgery community to refer to people who have undergone open-heart surgery, particularly those who have a scar that resembles a zipper down their chest. It’s called the Zipper Club because, much like a zipper, the scar marks the opening and closure of the chest during surgery.
Thank you for being here, for cheering him on, and for joining Levi’s Zipper Club Crew. Your kindness and support make this unforgettable chapter in his life even more special.
Operations & Procedures...
1st Heart Surgery
1st Heart Surgery
Levi's first open heart surgery was at one week old. It is called the Norwood and is the first of a 3 stage process to redirect the blood flow to his heart.
February 2017
Heart Cath #1
Heart Cath #1
Levi's 1st heart cath was at 3 months old. He had a pulmonary hypertensive crisis during the cath and remained intubated for a week.
April 2017
2nd Heart Surgery
2nd Heart Surgery
His second surgery was when he was 3.5 months old. In the first 4 months of Levi's life he spent 3 of those months in the hospital with complications. After receiving his Glenn heart surgery he was able to finally go home.
May 2017
Heart Cath # 2
Heart Cath # 2
As part of preparing for his third open heart surgery he had a heart cath to make sure everything was looking good for surgery.
April 2021
3rd Heart Surgery
3rd Heart Surgery
Levi received his third heart surgery, the Fontan, at the age of 4. His blood vessels have now been "rearranged" to provide blood to his lungs while bypassing his heart so that his heart can pump blood to his body with one working ventricle.
June 2021
Heart Cath #3
Heart Cath #3
1 year post Fontan surgery Levi had another heart cath to check on the stability of his new circulation.
June 2022
For the Nerds...
Complete Unbalanced AVSD
Normal Heart
Levi's technical diagnosis is a complete unbalanced Atrioventricular Septal Defect, which resulted in Hypoplastic Left Heart Syndrome. Here is a picture of a normal heart, followed by one with unbalanced AVSD.
What's it Mean...
Unbalanced AVSD heart
An unbalanced complete AVSD is a heart defect with a large hole between all four chambers and abnormal valves. Blood flows unevenly because one side of the heart is smaller, causing blood to mix and straining the heart.
The Norwood Surgery
1st surgery
The Norwood surgery is the first of three surgeries for babies with heart defects like HLHS. It creates a new pathway so the heart can pump blood to the body, even with only one working side.
The Glenn Surgery
2nd surgery
The Glenn surgery is the second of three surgeries for children with single-ventricle heart defects. It redirects blood from the upper body directly to the lungs, reducing the heart’s workload and helping improve oxygen levels in the blood.
The Fontan
3rd surgery
The Fontan surgery is the 3rd surgery for children with single-ventricle heart defects. It connects blood from the lower body directly to the lungs, allowing oxygen-poor blood to bypass the heart entirely, which helps improve circulation and oxygen levels.
Prognosis
1 in 3,800 have hlhs
Children with HLHS can live into adulthood with proper treatment, but life expectancy varies depending on the severity and ongoing care. Lifelong monitoring is often needed due to long-term health challenges.
Living with HLHS...
Living with Hypoplastic Left Heart Syndrome (HLHS) is a profound journey marked by significant medical complexity and the need for continuous care. HLHS involves a severe underdevelopment of the left side of the heart, rendering it incapable of pumping blood effectively to the body. This condition requires a series of three staged surgeries known as the Norwood, Glenn, and Fontan procedures to reroute blood flow, which are critical for survival. Historically, without these interventions, HLHS was almost uniformly fatal within days or weeks after birth. Even with modern surgical techniques, survival remains a challenge; it's estimated about 70% of children reach 5 years of age. With medical advancement these numbers continue to improve and if able to reach age 5 it is estimated that 90% of them will reach 18. However, the surgeries have not been around long enough to have long term studies. We estimate that only about 30% of patients, make it to 30 years without a transplant. Long-term, those who survive face ongoing health issues, including potential heart failure, arrhythmias, and neurodevelopmental delays. The Fontan circulation itself will cause liver fibrosis over time, and eventually may progress to cirrhosis . These statistics underscore why HLHS is considered a critical illness, where every year of life gained is a testament to medical advancement and resilience.
The challenges do not end with childhood. Even those who successfully navigate through the surgical gauntlet must manage a lifetime of medical appointments, medications, and potential complications like liver problems due to Fontan circulation. The quality of life can be good for some, but for others, it involves frequent hospital visits and a constant awareness of their health's fragility. Despite these hurdles, the life expectancy for those with HLHS has improved, with some individuals now living into their 30s or beyond, though this is still a minority, highlighting the severity of the condition.
In honoring all the heart warriors we've known but lost, we acknowledge the silent battles they fought and the indelible marks they left on our hearts. Each child that's been lost to congenital heart disease reminds us of the preciousness of life and the strength found in adversity. We thank God for the ability to be able to find something good in every situation, understanding that even through loss, there's a lesson of love, resilience, and the sacredness of each moment we share with our son. We are profoundly grateful for this time, making amazing memories, and cherishing every heartbeat, knowing how fortunate we are to witness such courage and joy amidst the challenges.
"Therefore we do not lose heart. Even though our outward man is perishing, yet the inward man is being renewed day by day. For our light affliction, which is but for a moment, is working for us a far more exceeding and eternal weight of glory, while we do not look at the things which are seen, but at the things which are not seen. For the things which are seen are temporary, but the things which are not seen are eternal."
2 Corinthians 4:16-18