Congenital heart disease

About 24 hours of birth, mild shortness of breath did not love there crying, not feeding, after a medical examination that is caused by amniotic fluid aspiration pneumonia, and sent to the neonatal intensive care isolation room put incubator treatment, X ray shows pneumonia the heart shadow is too large, the doctor said to do with suspected heart attack B-ECG, echocardiography report card is now as follows: The main measured values M-bounce echocardiography (CM) LVDd: 2.1Ao1.08LVEF: 63% LVDS: 1.45 LA1.18LVFS32% more than the spectrum Shop Le Shop Le ultrasound AAo0.8 color ultrasound more than mild MR with mild TR AI-negative PI-negative description of the location and the connection is normal heart, aorta without widening, pulmonary slightly widened. The film open debate activities normal, no significant disruption compartment, left aortic arch. ductus arteriosus, pulse arterial end of the level of left to right 0.28CM main artery shunt, peak velocity of about 3.14 / S. interruption of atrial septal about 0.3CM small central left-echo right shunt, left ventricular saw a small band of light with left ventricular posterior wall and interventricular septum in between. ultrasonography impression: Congenital heart disease, patent ductus arteriosus, atrial septal interruption, a small amount of left to right shunt. left ventricular false tendons shrink because children in isolation rooms, and we parents can only go every afternoon between 3-4 points inquiry, because there are some 30 children, each parent is only 2 minutes, other times unable to see the doctor, so Guiqiu of you are Man can give a single interpretation of the next report, the situation in the end how the baby? serious? can heal? If you can not heal when treated? need to how to treat? the hospital is better domestic? usually need to how to care for the baby after discharge from hospital? Guiqiu you to interpret a large Gap reported under the single issue is not very serious consideration of atrial septal defect patent foramen ovale 0.3cm, small defects, very large within 1 year of age may be automatically closed. Patent ductus arteriosus, the most common congenital heart disease is the most simple, but once they do not attach importance may lead to catastrophic consequences, such as pulmonary hypertension. Proposed to strengthen the care and avoid vigorous crying and cold and Doppler in 6 months, if over the age of PDA closure, the proposed surgical ligation. This is very simple ligation without thoracotomy. In short this is very common heart defects, will be a great possibility of natural together, even if the success rate is also high, do not worry, but keep in mind the prevention of influenza, pneumonia and heart failure event that may affect the success rate of self-healing. The authority of Pediatric Cardiac Surgery Hospital: North - Beijing Fu Wai Hospital, Cardiovascular Hospital Tianjin Teda South - Shanghai Xinhua Hospital of fetal congenital heart disease is due to cardiovascular abnormalities of the heart caused the vascular malformation, the period is the most common heart disease in children. Including atrial septal defect, ventricular septal defect, patent ductus arteriosus, tetralogy of Fallot, and other great vessels, pulmonary stenosis, coarctation of the aorta and so on. Past 20 years due to advanced technology development of modern inspection and hypothermic anesthesia, cardiopulmonary bypass and cardiac surgical progress, a lot of common congenital heart disease to get an accurate diagnosis and cure, part of the complex cardiac malformations can also be into surgery treatment. First, the cause: in the fetal heart of any effect on embryonic development of the factors may cause heart defects, such as the pregnant mother suffering from rubella, influenza, mumps, Coxsackie virus infection, diabetes, hypercalcemia, maternal exposure radiation; maternal anti-cancer drug or a sugar taking other drugs Ning. Second, the clinical manifestations: 1, children may be more growth and development of children lagging behind their peers, and susceptibility to respiratory infections. 2, atrial septal defect, ventricular septal defect and patent ductus arteriosus, is usually no bruising early, but after intense activity or cry laughing bruising may occur, with age, to the late development of bruising may occur. Right to left shunt congenital heart disease, severe cardiac malformations, such as tetralogy of Fallot in children after birth or several weeks to several months to appear purple, and gradually increased. 3, cardiac auscultation, can be heard at the left sternal border systolic murmur. 4, tetralogy of Fallot in children in the activities, the need to frequently squat to rest, to relieve shortness of breath, syncope may occur at times (temporary changes in brain hypoxia), and even life-threatening ventilation; In addition, TOF Fallot children with fingers, toes, swollen like a drum-like terminal, said clubbing (toe). In addition, atrial septal defect, ventricular septal defect and patent ductus arteriosus often susceptible to pneumonia, heart failure-prone, tetralogy of Fallot often be complicated by cerebral thrombosis, brain abscess, the addition of atrial septal defect with congenital heart disease were outside the complicated by bacterial endocarditis. Third, diagnostic measures: X-ray contrast can be used for the heart, ECG and cardiac echocardiography look sound. Echocardiography, the largest of its diagnostic value, can show the atrial septum, ventricular septal defect size, location, points of blood flow, and other vascular malformations; general should be made before surgery, cardiac catheterization and angiography to further clarify the cardiovascular preoperative diagnosis and well prepared. IV treatment: 1, surgical treatment: cure of congenital heart disease is surgery, general surgery in 4-5 years for such symptoms are severe or persistent bacterial endocarditis who can not control the operation in advance. 2, the medical treatment: congenital heart disease medical treatment before surgery is mainly to avoid vigorous activity, prevention or treatment of infections, if any, of heart failure should be actively treated. Oh, your baby, not heart problems, primarily patent ductus arteriosus, 2.8 mm, the other has a 0.3 cm central atrial septal defect, atrial septal central and relatively small, then consider the patent foramen ovale. However, note that many newborns are to be delayed until 3 months before PDA closure because the fetal ductus arteriosus is absolutely not closed to it relied on the supply of oxygen, the fetus does not breathe their own sake. Newborn after the birth of their breathing, then do not necessarily have their own immediate closure of the ductus arteriosus, even closed, and no fully reliable right. You a newborn, and that not too much thinking. Also has its own chance to close, in fact, within 3 months of patent ductus arteriosus, it generally can not be considered, if the premature children, it is more easy. After 1 year old general that the ductus arteriosus should absolutely be closed. Another patent foramen ovale, it is only 0.3 cm, usually so closed to the possibility of their own age about 90% of itself that will not cause hemodynamic changes, it will be more old than others easy to cerebral infarction only, but not all infarction. . There is also a left ventricular false tendons, this fact, many see the normal population, and more than 60% of people can be found, most do not consider is the exception, of course, a few people who may cause arrhythmia causes. The so-called tendons, heart valves is under the fixtures, false tendons, the shape similar to the tendons, heart valves, but not the fixtures only. The general population the ratio is so high, you always have heart disease, it is not necessarily so many people. So your baby, the heart is entirely after the follow-up should have the possibility of a large patent ductus arteriosus and their patent foramen ovale, have their own closed. Because of the patent foramen ovale is too small and not much pressure atrium, it is generally not a big problem is not closed also at most elderly have increased after cerebral infarction opportunities. The patent ductus arteriosus, it should be said that if they do not close, then after the surgery should be out in time, because the aorta and pulmonary artery catheter is connected between, then the aortic pressure, then you still may cause long-term adverse effects. So look to the future, when the closure is not closed, such as 1 year old, then consider surgery out of the general thoracic surgery can also be involved, but the thoracic surgery is also not happy because that is the aorta and between pulmonary artery ligation, or crush you give it on the line. I was once a doctor had misdiagnosed the patient did not, did not receive a red envelope rebate, but ���ܲ���֮ԩ, doctors were forced to leave the job. My heart is really bleeding. My experience here, we have time to look at the merits of its own conclusions% C0% F7% C7% E5/blog/item/48a92f099845f2920a7b8292.html