02/06/2026
💖 Day 5 Fact: HLHS – The Fontan Procedure and Life Beyond Surgery
The final stage in the surgical journey for children with Hypoplastic Left Heart Syndrome (HLHS) is called the Fontan procedure, typically performed between 18 months and 3 years of age. This complex surgery completes the redirection of blood flow so that oxygen-poor blood from the lower body flows directly to the lungs. By doing this, the heart can work more efficiently, oxygen levels improve, and children have a much better chance at a longer, more active life. Even with this surgery, ongoing monitoring and care are essential, as the heart is still not “normal,” but it’s a critical step in giving children with HLHS a chance to thrive.
For our Luke, reaching the Fontan procedure was an incredible milestone. After surviving the Norwood and Glenn surgeries as a fragile newborn and infant, this third surgery gave him the best chance at living a fuller, healthier life. I remember watching him in the ICU—tiny, brave, and still so full of personality despite everything he had endured. Even with monitors, tubes, and life-saving equipment attached, Luke’s eyes sparkled with curiosity, he laughed at silly faces, and he found ways to show his stubborn little spirit. He wasn’t just surviving—he was living, and he was thriving in his own way.
Thanks to advances in pediatric cardiac care, children today recovering from the Fontan procedure can sometimes be awake during recovery, interact with family, and even engage in gentle movement or play while on monitors. These moments of normalcy are so important—they allow children to grow physically, emotionally, and socially, even while still fighting a serious heart condition. For Luke, those moments were precious. After his Fontan surgery, he went on to live six beautiful, full years, laughing, exploring, and experiencing life with the fierce energy that defined him. He celebrated birthdays, played with friends, went on adventures, and brought joy to everyone around him—showing that even children with complex congenital heart defects can have rich, meaningful lives.
Every heartbeat, every laugh, every small victory was a testament to his bravery, the incredible care of his medical team, and the love surrounding him. Luke’s journey through the Norwood, Glenn, and Fontan procedures reminds us of the strength of these tiny warriors and the importance of awareness, research, and support for children with congenital heart defects.
The pictures below show our heart warrior, Luke, during his heart journey, including recovery from his Fontan procedure. Viewer discretion is advised, as some images may be graphic, showing life-saving medical equipment attached to a tiny child fighting for his life. ❤️