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Heart Disease (Expert Forum)
Child heart
Answered by
Cleveland - OH
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Child heart
by ayan1970, Mar 16, 2009 12:20PM
Child of 4 months is diagosoed Palmonary Atresia (with absent central pulmonary arteries.) and MAPCA dependent pulmonary cerculation vide 2D Echocardiography with colour doppler study.
Moreover, by CT Chest Angiography, he is also diagonosed :-
pulmonary arteries are not visualised.
Aorta : Multiple collaterals are seen from arch of Arota and descending thoracic Aorta supplying both lungs. They measures 3 mm (one collateral), 4 mm (three collateral), and 5 mm (one collateral)
SVC & IVC : Double SVC seen. Right SVC darining into right atrium and left SVC DRAINING INTO COLONARY SINUS.
VSD with overriding of Aorta
No branches pulmonary artaries.
Multiple MAPCAS supplying both lungs
Double SVC.
Please suggest.
Moreover, by CT Chest Angiography, he is also diagonosed :-
pulmonary arteries are not visualised.
Aorta : Multiple collaterals are seen from arch of Arota and descending thoracic Aorta supplying both lungs. They measures 3 mm (one collateral), 4 mm (three collateral), and 5 mm (one collateral)
SVC & IVC : Double SVC seen. Right SVC darining into right atrium and left SVC DRAINING INTO COLONARY SINUS.
VSD with overriding of Aorta
No branches pulmonary artaries.
Multiple MAPCAS supplying both lungs
Double SVC.
Please suggest.
Doctor's Answer
by Cleveland Clinic, Mar 18, 2009 06:43AM
, Mar 18, 2009 06:43AM
This is a form of tetralogy of falot, where the pulmonary artery did not develop, and instead mixed blood, due to the VSD, is directed from the left side of the heart to the pulmonary circulation via the APCs. This is a complex cyanotic congenital defect that should be dealt with by an experienced heart specialist and a heart surgeon. I would suggest contacting the Mayo clinic, or the Texas Heart Institute or one of the Boston hospitals.
Member Comments (2)
by ayan1970, May 02, 2009 10:32AM
To: cleveland clinic
He is not taking any food other than breast milk. If feeded, he is vomiting it out. Is it related to the a/s problem.
