I am Mom to a 3 year old boy with repaired tga/vsd/asd with ascending aortic dilation with mild aortic regurg. I need to stop worrying but can't seem too. My sons recent measurements are
Ao Annulus 1.85cm Z of 4.31
Ao Root 2.38cm Z of 3.33
Ascending 2.6 cm Z of 5.35
AV Area (using Diameter) 2.69cm
Proximal Ao Arch 1.57cm
We go back in a year for a re-check, I am just worried we should be looking for a reason this is happening or doing something from preventing it from getting worse? It is common for tga kids to have dilated aortas, but not by this much? His progression is slow which is a good thing, but will it stop on it's own? What exactly do the numbers show is happening? He just turned 3 years old. Our cardio is not a man of many words..thank you very much for your insight.
It is common for patients to have dilation of the neo-aorta (former pulmonary valve and artery) after an arterial switch operation for d-TGA. It is very variable in degree. The z-scores in your child's case are large, and what your doctor will be watching for is: 1) the rate of change over time, 2) progression of aortic valve leakage. if the neo-aortic valve starts to leak alot then it may be time to operate to reduce the size of the aorta and support the valve. Fortunately it is very uncommon to need to do that. However, when you have a child with congenital heart disease of a significant nature s/p heart surgery, you will never stop worrying.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.