Our Cardiologist, Dr. Mayman, told us today that Matthew needs another surgery. His pulmonary artery has constricted to dangerous levels and must be replaced. The constriction is a result of the scarring and sutures healing from his original surgery. If you look at this drawing you will see Dr. Rothman’s interpretation of Matthew’s manufactured pulmonary artery. The inner diameter for a child Matthew’s size should be 12mm. As you can see there are several areas constricted to a third of that size. Last week Dr. Rothman performed an angioplasty to expand the areas seen above and had some success. But today when Dr. Mayman performed an echo-cardiogram, he found that the pressure levels are elevated and believes that the areas have already returned to their pre-angioplasty measurements. Dr. Mayman thinks we can wait until January. The cardiologists are meeting this afternoon to discuss Matthew’s case and should have more information on when and where the surgery will be. Depending on the complexity, we may have to return to UC Stanford. Matthew is not in any distress nor is he symptomatic. If not for the frequent echo-cardiograms we would never know there is a problem.