Tetralogy of Fallot is a common form of congenital heart disease characterized by four main features:
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Stenosis (narrowing) of the pulmonary trunk - blood flow from the right ventricle into the pulmonary trunk and pulmonary artery is obstructed.
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Enlargement (hypertrophy) of the right ventricle of the heart - develops due to increased load on the right ventricle due to stenosis of the pulmonary trunk.
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A ventricular septal defect is a hole in the septum between the left and right ventricles.
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Displacement of the aorta to the right - the aorta is displaced from its normal position over the left ventricle towards the right ventricle.
A child with tetralogy of Fallot experiences cyanosis (bluish skin) due to mixing of venous and arterial blood through a ventricular septal defect. Such children are usually short and overweight.
This congenital heart defect can only be corrected surgically. The operation is performed in early childhood.
Tetralogy of Fallot: Description and Surgical Treatment of Congenital Heart Defects
Congenital heart defects are serious medical conditions that can have a significant impact on the life and health of affected children. One of the most common congenital heart defects is Tetralogy of Fallot, also known as Tetralogy of Fallot (TOF). In this article, we will look at the main characteristics and symptoms of Tetralogy of Fallot, as well as methods for its surgical removal.
Tetralogy of Fallot is a complex heart defect consisting of four main abnormalities. It includes pulmonary stenosis (narrowing of the artery that drains blood from the right ventricle to the lungs), enlargement of the right ventricle of the heart, ventricular septal defect (incomplete closure of the wall between the ventricles), and displacement of the aorta to the right (it blocks both ventricles). These abnormalities cause oxygenated and non-oxygenated blood to mix, resulting in a bluish discoloration of the baby's skin, known as cyanosis. Children suffering from Tetralogy of Fallot may also have short stature and be overweight.
However, thanks to modern advances in medicine, there are effective treatments for Tetralogy of Fallot. Surgery is usually recommended as the main method of eliminating the defect. The operation, known as correction of Tetralogy of Fallot, involves various procedures aimed at eliminating each of the components of the defect.
During surgery, the pulmonary stenosis is widened or replaced to allow normal blood flow to the lungs. A ventricular septal defect is closed by implanting a plastic or synthetic spacer to prevent blood from mixing between the ventricles. If necessary, correction of aortic displacement to the right can also be performed. In some cases, if the enlargement of the right ventricle of the heart is significant, additional surgical correction may be required.
After successful surgical treatment, most children experience a noticeable improvement in their condition. They become less blue, their growth and development are normalized, and they can lead an active and fulfilling life. However, in some cases, additional treatment or subsequent surgeries may be required throughout life.
It is important to note that early detection and diagnosis of Tetralogy of Fallot plays a key role in determining the best treatment approach. Cardiologists perform various medical tests, such as echocardiography and angiography, to accurately determine the characteristics of the defect and plan surgical correction.
In conclusion, Tetralogy of Fallot is a common congenital heart defect that can have a serious impact on the health and life of children. However, thanks to modern surgical techniques and medical progress, most children with Tetralogy of Fallot are able to receive effective treatment and return their condition to normal. It is important to seek qualified medical care for the diagnosis, treatment, and follow-up care of patients with Tetralogy of Fallot to ensure they have the best possible quality of life and well-being.