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What Does The Following Test Report During 18 Weeks Of Pregnancy Indicate?
Question: I am 18 week pregnant fetus diagnosed with dorv and large inlet vsd and dTGA. Hr 139, rythem 1:1. Fetus size normal, size 1:3.
Have controlled diabetes remain mostly below 120 after meal.
Have controlled diabetes remain mostly below 120 after meal.
Brief Answer:
Surgical correction would be required post birth
Detailed Answer:
Hi
Thanks for choosing HCM for your query!
Double outlet right ventricle is a heart disease that is present from birth (congenital). The aorta connects to the right ventricle (RV, the chamber of the heart that pumps oxygen-poor blood to the lungs), instead of to the left ventricle (LV, the chamber that normally pumps oxygen-rich blood to the body).
Both the pulmonary artery (which carries oxygen-poor blood to the lungs) and aorta (which carries oxygen-rich blood from the heart to the body) come from the same pumping chamber. No arteries are connected to the left ventricle (the chamber that normally pumps blood to the body).
Treatment requires surgery to close the hole in the heart and direct blood from the left ventricle into the aorta. Surgery may also be needed to move the pulmonary artery or aorta.
Complications from DORV may include:Heart failure,
High blood pressure in the lung(pulmonary hypertension), which untreated can lead to permanent lung damage and even death.
This condition can be corrected well by surgery ,your child have to undergoe surgery soon after birth.
Mortality rate is about 10% as dorv with large vsd with tga is there !
According to trials-
15year survival rate post surgery is about 80% ,as you are still 18 weeks pregnant ,you can analyse the situation yourself and with your husband,in bestcase scenario the patient can survive upto 20-25years post surgery.
So please make your self mentally prepared for it !!
Sorry.
As you have not asked any specific question ,i have answered the possible queries!
Advised
Ultrasound every 2-3 months to be done by a pediatric cardiologist!
In case you want to ask any more query feel free to ask i will be happy to help you!
Thanks
Dr Rishu Saxena
Cardiologist XXXXXXX hospital New XXXXXXX
Surgical correction would be required post birth
Detailed Answer:
Hi
Thanks for choosing HCM for your query!
Double outlet right ventricle is a heart disease that is present from birth (congenital). The aorta connects to the right ventricle (RV, the chamber of the heart that pumps oxygen-poor blood to the lungs), instead of to the left ventricle (LV, the chamber that normally pumps oxygen-rich blood to the body).
Both the pulmonary artery (which carries oxygen-poor blood to the lungs) and aorta (which carries oxygen-rich blood from the heart to the body) come from the same pumping chamber. No arteries are connected to the left ventricle (the chamber that normally pumps blood to the body).
Treatment requires surgery to close the hole in the heart and direct blood from the left ventricle into the aorta. Surgery may also be needed to move the pulmonary artery or aorta.
Complications from DORV may include:Heart failure,
High blood pressure in the lung(pulmonary hypertension), which untreated can lead to permanent lung damage and even death.
This condition can be corrected well by surgery ,your child have to undergoe surgery soon after birth.
Mortality rate is about 10% as dorv with large vsd with tga is there !
According to trials-
15year survival rate post surgery is about 80% ,as you are still 18 weeks pregnant ,you can analyse the situation yourself and with your husband,in bestcase scenario the patient can survive upto 20-25years post surgery.
So please make your self mentally prepared for it !!
Sorry.
As you have not asked any specific question ,i have answered the possible queries!
Advised
Ultrasound every 2-3 months to be done by a pediatric cardiologist!
In case you want to ask any more query feel free to ask i will be happy to help you!
Thanks
Dr Rishu Saxena
Cardiologist XXXXXXX hospital New XXXXXXX
Above answer was peer-reviewed by :
Dr. Prasad
Thanks ,but I understand the term and complication. I wish to know does the fetus show any symptom of having dorv.. As it has normal heart beat and rythem.
Also review the pic I have send. Do u feel it justify the conclusion
Hi, further I need to ask , whether D Tga and DORV can happen at the same time...
My NT is normal 1.9 and negative triple report.
Can such a big complication still happen...
Baby is growing normally,its size is OK.
Can it be done accurally at 18 week......
And in 20_25 min...
Also review the pic I have send. Do u feel it justify the conclusion
Hi, further I need to ask , whether D Tga and DORV can happen at the same time...
My NT is normal 1.9 and negative triple report.
Can such a big complication still happen...
Baby is growing normally,its size is OK.
Can it be done accurally at 18 week......
And in 20_25 min...
Brief Answer:
Yes it can be done at 18 weeks.
Detailed Answer:
Hello,
Triple test is to rule out generic and chromosomal abnormalities like downs syndrome , trisomy of 18th chromosome or neural tube defect while DORV and TGA are congenital heart disease.
In 26% of cases TGA and DORV occurs together or share the same physiology.
2D echo takes 20-30minutes and yes it can be done at 18weeks .
Its a congenital disorder and can develop in person with normal genetic tests also !
You should consult your pediatric cardiologist to decide whether you should have the child or not, in case you decide to have the child , you have to be mentally prepared for a big surgery and other things I have previously mentioned.
Sorry!
Feel free to ask further.
Kind Regards
Yes it can be done at 18 weeks.
Detailed Answer:
Hello,
Triple test is to rule out generic and chromosomal abnormalities like downs syndrome , trisomy of 18th chromosome or neural tube defect while DORV and TGA are congenital heart disease.
In 26% of cases TGA and DORV occurs together or share the same physiology.
2D echo takes 20-30minutes and yes it can be done at 18weeks .
Its a congenital disorder and can develop in person with normal genetic tests also !
You should consult your pediatric cardiologist to decide whether you should have the child or not, in case you decide to have the child , you have to be mentally prepared for a big surgery and other things I have previously mentioned.
Sorry!
Feel free to ask further.
Kind Regards
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Thank u,
I also asked whether fetus has any symptom, as it has normal heart rate and rythem. Further, growth is normal.
Does pictures give any indication.
I also asked whether fetus has any symptom, as it has normal heart rate and rythem. Further, growth is normal.
Does pictures give any indication.
Brief Answer:
patient will start having symptoms soon after birth
Detailed Answer:
Hi again,
At present the fetus is getting all nutrition ,oxygen and blood supply through placenta of mother , hence no abnormality in growth or heart rate or rythm can be appreciated right now,but after delivery the fetus heart has to function by itself to support the body; That is the time when problem will arise .
As of now as per the pictures mailed by you growth is normal, Symptoms will arise as soon as the patient will be disconnected with placenta after birth.
Crown to rump length seems to be normal right now ,hence growth is normal.
In case you have any other question ,you can mail me on YYYY@YYYY , i would be happy to help you.
If possible ask you cardiologist to give you a video copy of 2 d echo done by him and mail it to me.
patient will start having symptoms soon after birth
Detailed Answer:
Hi again,
At present the fetus is getting all nutrition ,oxygen and blood supply through placenta of mother , hence no abnormality in growth or heart rate or rythm can be appreciated right now,but after delivery the fetus heart has to function by itself to support the body; That is the time when problem will arise .
As of now as per the pictures mailed by you growth is normal, Symptoms will arise as soon as the patient will be disconnected with placenta after birth.
Crown to rump length seems to be normal right now ,hence growth is normal.
In case you have any other question ,you can mail me on YYYY@YYYY , i would be happy to help you.
If possible ask you cardiologist to give you a video copy of 2 d echo done by him and mail it to me.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Thanks , will try and get the video.
Brief Answer:
Welcome!
Detailed Answer:
Hi again,
Welcome!
If you were helped by my answer please do rate it!
Advice
Follow up with reports.
Thanks,
Dr Rishu Saxena
Cardiologist XXXXXXX hospital Newdelhi
Welcome!
Detailed Answer:
Hi again,
Welcome!
If you were helped by my answer please do rate it!
Advice
Follow up with reports.
Thanks,
Dr Rishu Saxena
Cardiologist XXXXXXX hospital Newdelhi
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
Answered by
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