I underwent 2D ultrasound scan, which corresponds to 23 to 24 weeks fetal maturity.
The impression given in the report is as below.
OVERRIDING OF THE AORTA OVER THE INTER-VENTRICULAR SEPTUM WITH A PERIMEMBRANOUS V.S.D WITH MILD PULMUNORY STENOSIS - T.O.F
PULMUNORY ARTERY IS SMALL IN SIZE - 3.5MM
AORTIC ROOT DIAMETER - 6.2MM
My question is, as there is a time of 3.5 months for the baby to be born, can these problems set right in the womb itself or over time? or does this need surgical intervention? Also, please tell me your view on the severity of the defect taking into consideration the above report parameters.
Tetralogy of Fallot is a congenital heart defect that has four classic findings: 1) a ventricular septal defect (VSD), 2) aortic override of the ventricular septum, 3) pulmonary stenosis (obstruction of the pulmonary outflow tract), and 4) right ventricular hypertrophy (thickening of the right ventricle). It does not spontaneously resolve, and definitely requires surgical intervention to improve the lifespan and quality of life of these children. Unfortunately, I cannot tell you much more about the severity of the defect based on the limited amount of information that you have given me. The fact that the pulmonary stenosis is mild is probably a good thing. I cannot estimate how small the pulmonary artery is in relation to the rest of the size of the baby, however, which means that I cannot say more about the severity.
Tetralogy is typically repaired between ages 2 and 6 months, with complete repair occurring at that time. Occasionally, due to more complicated cardiac anatomy, a staged approach may need to be done. This would include a shunt placed between the aorta and the pulmonary artery to increase pulmonary blood flow and allow more time for cardiac growth followed by a complete repair and shunt takedown at a later time.
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.