Sunday night we had a reminder that we are performing complicated surgery on very sick patients and that there are risks involved. Nathalie is a 17 year old girl who on Sunday underwent replacement of two heart valves and repair of a third. This was a very long complicated operation which went very well. Unfortunately she had moderate persistent bleeding after surgery and with limited access to blood products we felt re-exploration was necessary. She was taken back to the operating room late Sunday night and relatively minor bleeding sites were controlled. She has done fine since the re-operation. Here she is with Dr. Siwek and Lauran the morning after the surgery, already out of bed.
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