Good morning! I will update of Franzs. Please spare some of your - TopicsExpress



          

Good morning! I will update of Franzs. Please spare some of your time for this one. Franzs was seen by Dr. Remotigue yesterday. Based from Franzs 2d echo result, his RIGHT and LEFT PULMONARY ARTERY have grown twice its size from June 19 2d Echo Result. Such finding is a two thumbs up👍👍, but it would be great if the measurements will reach to 0.70 mm. Please look at the pictures attached. 1. Tricuspid Valve Atresia compared to a Normal heart, 2. Circulation of Blood Through the Heart and, 3. Glenn Shunt Procedure. Normally, blood flows from Superior Vena Cava to the Right Atrium. With Glenn Shunt procedure, Superior Vena Cava will be redirected to the Pulmonary Artery. Glenn shunt - A second operation, often performed at about 4 to 12 months of age, replaces the Blalock-Taussig shunt with another connection to the pulmonary artery. In this operation, the Blalock-Taussig shunt is removed, and the superior vena cava (the large vein that brings oxygen-poor blood from the head and arms back to the heart) is connected to the right pulmonary artery. Blood from the head and arms passively flows into the pulmonary artery and proceeds to the lungs to receive oxygen. However, oxygen-poor (blue) blood returning to the heart from the lower body through the inferior vena cava will still mix with oxygen-rich (red) blood in the left heart and travel to the body, so the child will remain mildly cyanotic. This operation helps create some of the connections necessary for the final operation, the Fontan procedure. I would like to inform you that, his operation which was set next month is moved next year. As to the month of operation, I cannot answer that yet. A lot of factors to consider for Franzs operation such as THE SIZE OF HIS PULMONARY ARTERY, SITS ON HIS OWN, NEEDS TO WEIGH 10 KILOS (these are some of the factors to consider). If you have further queries, just ask me lang niya ha? Thank you so much for all of your help and support!
Posted on: Tue, 18 Nov 2014 01:56:04 +0000

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