Tetralogy Of Fallot Heart Failure Or TOF In Children Aged 5 Years?
Good evening doctor .. My 5-year-old son doctor diagnosed tof disease … And the doctor said that he must undergo surgery immediately … In April my son had undergone cardiac catheterization and the doctor said my child was diagnosed with pulmonary atresia ventricular septal defect, polycythemia vera secondary … And the hemoglobin is high 23.9. I want to ask how is the solution for my child, can I get better through my child’s surgery?
Hello, thanks for the question.
Tetralogy of Fallot or TOF is a congenital heart disease, in which there is a combination of four congenital heart diseases, thereby reducing oxygen flow throughout the body. Normally oxygen that is inhaled through the process of breathing will enter the bloodstream, then enter the chambers in the left heart, namely the left atrium and ventricle separated by the mitral valve, and then pumped by the left ventricle into the aortic vein and flowed throughout the body . After oxygen is used, blood flow will return to the heart and enter the heart's right atrium and venticles separated by the tricuspid valve, and then it will be flowed to the lungs for the exchange of oxygen and carbon dioxide. In babies with TOF, the above process does not run normally. TOF will cause the mixing of oxygen-rich blood from the left ventricle, with oxygen-deficient blood from the right ventricle, and cause the heart to work harder. So that the body can not meet the needs of oxygen and heart failure can occur. Cardiac disorders that occur in TOF include:
Ventricularsepathefect (VSD), which is an abnormal hole that forms in the wall that separates the right and left ventricles.
Pulmonary valve stenosis, which is the narrowing of the pulmonary valve, so that blood to the lungs is reduced.
Abnormal aortic position, i.e. shifts to the right following the formed VSD.
Right ventricular hypertrophy or abnormal thickening of the right ventricle.
Symptoms in babies with TOF can be in the form of skin and blue lips, shortness of breath, rounded and convex nails (clubbing fingers), fatigue, developmental disorders, and so forth. Children with TOF should consult a pediatrician to get treatment. The doctor will do a thorough examination and additional tests if needed, such as blood gas tests, pulse oximetry, ECG, chest X-ray, echocardiography, cardiac catheterization, and so forth. Handling can be done with surgical procedures, namely by repairing abnormalities (intracardiac repair), or temporary surgery by making new blood vessels or pressure, depending on the condition of the patient. Intracardiac repair functions to close the hole between the ventricles or VSD and repair damaged pulmonary valves. Usually complaints will improve after this procedure is done, however, for complete healing it is generally quite difficult, the child must remain in control regularly to the doctor to monitor the child's heart condition. Polycythaemia vera is a condition in which blood components have increased, secondary polycythemia vera is generally caused by other diseases in the body, it can be caused as a physiological response to the body's congenital heart defects to increase oxygen flow in the body. This polycythemia will generally improve if the underlying cause is overcome. Therefore, it is strongly recommended to maintain regular control and consumption of drugs given by doctors routinely to prevent worsening and complications arising from the disease. It is better to keep on doing a healthy lifestyle, avoiding excessive physical activity, eating healthy and nutritious food, and getting enough rest.
Thus, hopefully it helps.