Dear doctor,
My sincere thanks to you for taking time to respond to my queries.
I had posted a question earlier on the same topic (
http://www.medhelp.org/posts/Pediatric-Heart/Tetralogy-of-fallot/show/1161159) to which you had replied seeking more information to better diagnose the criticality of the tetralogy of fallot condition.
The doctor we have consulted here, has only speculated that it could be tetralogy of fallot with the Echo readings he has obtained. The reason I am posting here is to seek your opinion as to whether it indeed is a case of TOF. If so, based on the recent Fetal Echo readings obtained, what could you infer on the criticality?
Is surgical intervention really a necessity?
We are curious to know your findings based on the latest readings.
Recent Fetal Echo readings(28-29 WEEKS fetal maturity) :
The CARDIAC SITUS is normal.
The ATRIO-VENTRICULAR & VENTRICULO-ARTERIAL concordance noted.
There is evidence of over riding of the Aorta over the I.V.S with a mild pulmonary stenosis - FORWARD FLOW NOTED.
AORTIC ROOT DIAMETER - 8.3mm
R.V.O.T - Diameter - 4.0mm
INTER VENTRICULAR SEPTUM - 3.5mm perimembranous V.S.D noted.
The INTER ATRIAL SEPTUM shows a foramen ovale with normal flow across.
The CHAMBER SIZES are within normal limits.
Fetal Heart Rate - 152/Min 1:1 Conduction noted.
The MITRAL& TRICUSPID VALVES are normal.
The AORTA - ARCH & DESCENDING - are normal with normal flows.
The PULMONARY ARTERY BIFURCATION is normal with normal flows.
The I.V.C. is normal with normal connection to the RIGHT ATRIUM.
COLOR & PULSED WAVE DOPPLER STUDY - Revealed normal flow across the MITRAL,TRICUSPID, AORTIC VALVES.
Thank you,
Padmashri