Proper Handling Of Babies With Tetralogy Of Fallot (TOF)?
My daughter was born November 21, 2018 in a healthy and normal condition. Entering the age of 2 months sentenced by a doctor experiencing a heart leak (Tetralogy Of Fallot). It was said that my daughter had to be operated on, but at the moment we as parents are still confused when is the right time to do the surgery. And if there will be an operation, do we have to go to the Harapan Kita hospital for Indonesia ?? And whether our daughter’s post-surgery will be normal like other children or there must be special attention / treatment. Thank you HealthReplies.com
Hello Jefri, Thank you for the question.
Tetralogy of Fallot (TOF) is a congenital heart defect that occurs since a baby is born. This condition is caused by the disruption of organ development when the fetus is in the womb. In TOF, the structure of the heart is abnormal so that it interferes with the oxygen content in the blood pumped by the heart.
Under normal conditions, the heart consists of two porches (atria) and two chambers (ventricles). Oxygenated blood from the whole body will enter the right atrium and then be passed to the right chamber through the tricuspid valve. After the right chamber is filled with blood, the mitral valve will close so that blood does not flow back to the foyer and this blood will be pumped from the heart to the lungs to the pulmonary veins (pulmonary veins) through the pulmonary valve. In the lungs, this blood will bind oxygen into the respiratory system. This oxygen-rich blood will enter the left atrium and be transmitted to the left ventricle through the mitral valve. After the left ventricle is full, the tricuspid valve will close, and blood will be pumped by the left bile throughout the body through the aorta (large artery).
In TOF, there are four abnormalities in the structure of the heart, namely:
ventricular septal defect (VSD), which is the emergence of a hole between two chambers / ventricles of the heart pulmonary valve stenosis, or narrowing of the pulmonary valve so that blood entering the lungs is reduced right ventricular hypertrophy, ie thickening of the right ventricular wall as a result of heavy aortic heart pain which shifts to the right of the heart These four disorders cause disruption of the oxygen content in the blood. which causes symptoms of shortness of breath when on the move, the skin and lips turn blue, easily tired, fussy. difficult to gain weight, and impaired growth and development of children.Effective treatment for this condition is by surgery. The operation that the doctor will recommend depends on the patient's condition. Doctors can recommend surgery to repair heart structures or temporary surgery by making new blood vessels (usually done if the baby is still premature and the lungs have not developed). Heart structure repair surgery is usually recommended in the first year after your baby is born. Usually patients will be referred to health facilities that have adequate facilities, infrastructure and human resources to deal with this condition; one of them is the hospital you mentioned. Usually this action can be done in large hospitals that act as a referral center in big cities; however, to be sure, you must make sure at the hospital.
To answer further questions, it would be nice if a cardiologist or cardiac surgeon would answer it. The doctor needs to do further tests to find out your child's condition. By knowing the condition of your child, the doctor will have enough information and can plan further treatment. After undergoing surgery, your child can usually live a normal life but does not rule out the possibility of complications even though surgery has been done. Further information you should consult a cardiologist who treats your child, including conditions after your child has surgery.
Please read the following article further: Tetralogy of Fallot
Hopefully this information is useful.