My daughter is 3 weeks old and has been diagnosed with DORV w/ TGA, VSD and narrowing of the PA. She is currently being treated with diuretics and is stable but her weight gain is inconsistent so it remains to be seen if she will remain stable or will need the PA banding. In speaking with our Pediatric Cardiologist, he stated that the path forward was to complete the Glenn Procedure at approx. 7 weeks of age. I was surprised when he stated this as from everything I have read it is typically done around 6 months. Is it a common approach to complete the Glenn Procedure at 7 weeks? The benefit, according to our doctor, would be the elimination of the need for a separate banding procedure.
The Glenn is frequently performed typically between 2 and 6 months of age, or so. It is more a function of a few things, including ensuring that the pulmonary vascular resistance has fallen (the amount of resistance to blood flow across the lungs, which starts out elevated in all babies), the size of the pulmonary arteries, heart function, and the baby's oxygen saturations. Without evaluating your daughter, I cannot say for sure what the optimal timing will need to be for the Glenn. Certainly, avoidance of a pulmonary artery band would be nice, as they tend to distort the pulmonary arteries which can lead to obstruction later on. However, not placing it leads to the risk of congestive heart failure if there is too much overcirculation into the lungs. This can lead to poor growth and make your daughter a worse surgical risk. Therefore, your cardiologist will have to watch her closely to ensure that she is well balanced from that standpoint.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
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. MedHelp 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.