The first area is a hole between the two upper chambers of his heart. Every baby is born with this hole and it usually closes by the time babies turn 1. In Liam's case, it hasn't closed yet. If it hasn't closed by the time he is 4 years old, then there will be cause for concern. However, it should fix itself in the next two years.
The second area of concern is his left ventricle valve. The valve should have three parts. Liam has two parts that are fused together, which is creating some leakage. Right now, it is flowing pretty well and isn't causing too much strain on his heart.
The third area of concern is in his main artery that leads to the top of the heart. His aorta is narrowed, which is decreasing blood flow. This is called coarctation of aorta.
Today, we visited a pediatric cardiologist. After another echocardiogram and EKG, the cardiologist explained Liam's results and what needs to be done from here. The good news is that there was no change between echocardiograms, which leads the cardiologist to believe that Liam's condition is not getting worse. It also does not appear that there is a great deal of strain on Liam's heart. He does not show signs of having heart problems. However, this condition (coarctation of aorta) is not something that will go away on its own. The doctor said we should have a decade or two before surgery may be necessary. We will go back in two months to make sure that things are staying stable. As long as things stay stable, Liam should be able to remain active and "normal." The worst case scenario is that Liam will have to have surgery to open the artery and replace the valve. We will probably visit the cardiologist every 6 months through Liam's childhood. It is suggested that Liam not play high impact sports, such as football or hockey, but other sports should be just fine. We have signs to look for while he plays, but have been encouraged that as long as things remain stable, Liam should continue to be the busy boy he is.
Liam has been a trouper through all of this. He has charmed his way into the hearts of every nurse and receptionist he has met. Liam's cardiologist was especially smitten with Liam. When he asked for Liam's medical history, we explained that he was adopted. He paused and said, "Thank you, and God bless you. It is obvious to me that God gave you this child because you are exactly the right parents for this boy and he is the right boy for you. It is evident that God will use you to bless him and he will bless so many people." We of course have always known that Liam is meant for greatness. He has an undeniable spark (which we believe is the Holy Spirit within him). This journey in his life is building him into the man of God that he will become. We may never know how many people are impacted through this. I have learned that once again, I have no control. I need to trust that God is God and that this boy has been entrusted to me, but he belongs to the Lord. I was so touched at the witness Liam gave today, just by being himself. He truly is my miracle and I am thankful for him every minute of every day.
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