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TETRALOGY OF FALLOT

Tetralogy of Fallot (teh-TRALL-o-gee-of-fal-O) or TOF, is congenital heart condition present at birth. According to the American Heart Association, one out of every one hundred infants are born with some form of heart disease. There are about 3,000 babies born with TOF each year in the United States; accounting for 9 to 14 percent of all congenital heart conditions. A heart with TOF causes the bodies oxygen-rich blood to mix with the oxygen-poor blood, greatly reducing blood flow to the lungs. (see diagram below) Every infant or child with TOF needs surgery, usually within the first year of life. This surgery is one of the most commonly performed operations in the United States In TOF, there is an increased  resistance to right ventricular outflow. The oxygen-rich blood is mixed with the oxygen-poor blood, greatly reducing blood flow to the lungs. (see diagram below) 


A heart with TOF

The cause of TOF is unknown. Multiple factors seem to be involved and there is no known prevention.

 

TOF is a serious and complex condition that consists of four major specifics within the heart:

  • A ventricular septal defect (VSD) - A hole in the that separates the right and left ventricles.
  • Pulmonary stenosis - A thickened valve that causes obstructed blood flow to the lungs.
  • An enlarged right ventricle - This is due to the small valve which causes the right ventricle to work much harder to pump blood into the lungs.
  • An overriding aorta - This means the aorta is located over the hole in the heart and re-circulates un-oxygenated blood.

 

Open-Heart Surgery

Open-heart surgery, in most cases, requires the use of a heart-lung machine used to support the patient’s circulatory system while the surgeon opens the chest and makes changes to the heart or the arteries on the surface of the heart. Patients can generally expect a hospital stay of at least three to four days following the operation, where they will carefully monitored in the cardiac intensive care unit. This surgery is one of the most commonly performed operations in the United States. According to the American Heart Association, approximately 1.3 million open-heart surgeries were performed in 2001 alone.

Amercan Heart Association

What are the symptoms of TOF?

Severe cases are typically detected before or shortly after birth.  Although, some conditions are not caught until much later in life.  Some babies are blue or have very low blood pressure shortly after birth.  Some babies have a difficult time eating, breathing, and/or gaining weight.  There are minor cases that show no symptoms at all, most often diagnosed on a routine medical check up. If you suspect your child of having a congenital heart condition or have ANY questions, ALWAYS consult your child's doctor. Signs and symptoms may range in severity as each child is different. 

American Red Cross


Anquan Boldin #81 , Arizona Cardinals

 



Phoenix Children's Hospital

Finally up and walking around when family came to visit.