I am the mom of 3, 2 of which have heart defects. My oldest daughter has TOF and my youngest son has TGA. My TOF kiddo has had 3 heart surgeries - repair at 7 weeks, surgery for pulmonary stenosis at 3, and had an emergency surgery last September at 4 for a pulmonary aneurysm. She frequently complains of sharp pains in her chest area. She usually says a tummy ache and then we ask where and she points to her chest. Sometimes she says her heart hurts. She did wear a monitor for 30 days this summer after frequent complaints of feeling like her heart was "beeping" too fast. The results were fine, sometimes beating fast sometimes slow. After all we've gone through I'm not sure when a tummy ache is just that or when to suspect something more. Any suggestions? Tonight I put her to bed in tears with "sharp pains". I'm not sure if it's something to worry about or if it's just a 5 year old with a tummy ache. My littlest is 13 months with TGA and had his surgery in August of last year. We aren't sure if we have a genetic issue, but probably won't chance having another child for fear that he/she would have a CHD too.
If I am correct in reading your post, the child with the sharp chest pains is the child with Tetralogy of Fallot repair and redo for a pulmonary aneurysm. While it is true that most chest pain in children is non-cardiac in orgin, you still have to consider a cardiac cause in this circumstance. It would be most appropriate to call your child's cardiologist and review the issues with them first. If the pain is sharp and localized it may just be musculoskeletal, but with her history you cannot assume that.
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