Hypoplastic Left Heart Syndrome, the Norwood Procedure, and My Daughter’s Story
- Ronia Arabatlian
- Feb 6
- 2 min read
When my daughter was diagnosed with Hypoplastic Left Heart Syndrome (HLHS), my understanding of the heart changed forever. Not just as an organ, but as a metaphor for endurance, fragility, and extraordinary strength.
HLHS is a congenital heart defect in which the left side of the heart is critically underdeveloped. In practical terms, this means the heart cannot effectively pump oxygenated blood to the body without surgical intervention. In emotional terms, it means that from the very beginning, survival depends on a delicate choreography of medicine, timing, and hope.
Within days of her birth, my daughter underwent the Norwood procedure, the first of three major open-heart surgeries required for children with HLHS. The Norwood is both brilliant and brutal. Surgeons reconstruct the heart and blood vessels so the right side of the heart can take on the work of pumping blood to the body. It is lifesaving, and it is overwhelming. For parents, it marks an abrupt entry into a world of ICUs, monitors, consent forms, and the constant hum of uncertainty.
It was more than signing consent forms; it was enduring long hospital stays, sleepless nights, and countless prayers filled with hope. It was pacing hospital corridors, wondering if each beep of the monitor signaled safety or danger. It was holding her tiny hand through procedures no parent should witness, learning to find moments of joy and connection amid relentless uncertainty. It meant navigating medical jargon, coordinating care between specialists, and discovering a resilience I never knew I possessed, all while cherishing every small milestone she achieved.
My daughter survived The Norwood. And she lived far beyond what many early statistics once suggested. Her life was shaped by medical complexity, yes—but also by joy, connection, humor, and a presence that taught me more about courage than any book, training, or professional experience ever could.
Congenital Heart Defect Awareness Week is often about education, advocacy, and visibility. All of that matters deeply. But for me, it is also about remembrance and reverence. It is about honoring children whose hearts worked differently, and families who learned to live in the space between fear and fierce love.
This journey reshaped my faith. I learned that faith was not certainty or the promise of outcomes, but the willingness to remain present when answers were unavailable. Faith looked like whispered prayers in hospital rooms, surrendering what I could not control, and trusting that God was near—even in moments of deep fear and exhaustion. My faith deepened not because the journey was easy, but because it required me to lean into grace one moment at a time.
HLHS changed the trajectory of my daughter’s life and my own. Out of the trauma grew a different way of seeing—one marked by compassion, humility, and an expanded capacity for love. This is the essence of post-traumatic growth: not that suffering is justified or redeemed by meaning, but that meaning can still emerge alongside suffering. I did not choose this path, but it shaped who I became.
This week, and always, I carry her heart with me. And I trust that the love that sustained her life continues—held in God, woven into my faith, and living on through the ways her story has transformed mine.



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