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Tetralogy of Fallot (TOF) is a congenital heart defect characterised by four distinct anatomical issues that, combined, result in insufficient oxygenation of blood. This condition involves a Ventricular Septal Defect (VSD), pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta. The exact cause of TOF remains unknown, but it may be due to genetic factors and environmental influences such as maternal diabetes, alcohol use, or poor nutrition during pregnancy. Despite the complexities of this condition, many patients can lead relatively normal lives with timely surgical interventions.
In Delhi, the capital city of India, there is a significant number of TOF cases. However, Apollo Hospitals Delhi offer some of the best cardiology doctors and surgeons for tetralogy of Fallot treatment. These specialists possess extensive experience and expertise in managing and treating this complex condition.
Tetralogy of Fallot involves four specific types of anatomical abnormalities:
Ventricular Septal Defect (VSD): This condition is characterised by a hole between the two lower chambers of the heart.
Pulmonary Stenosis: This involves a narrowing down of the pulmonary valve or right ventricular outflow tract, reducing blood flow to the lungs.
Overriding Aorta: In this abnormality, the aorta is positioned towards the right, receiving blood from both ventricles.
Right Ventricular Hypertrophy: This leads to a thickening of the muscle wall in the right ventricle.
The symptoms associated with TOF can vary significantly depending on the severity of the defects:
Cyanosis (bluish tint to skin, lips, and fingernails due to low oxygen levels in the blood)
Abnormal heart sounds heard through a stethoscope
Difficulty feeding in infants leads to poor weight gain
Clubbing, resulting in an enlargement of the fingertips or toes
Shortness of breath
Fainting due to decreased oxygen levels
To diagnose TOF, the following tests are commonly recommended by tetralogy of Fallot specialists and tetralogy of Fallot surgeons:
Echocardiography: To visualise the heart's structure and function.
Electrocardiogram (ECG): To detect any electrical abnormalities in the heart.
Chest X-ray: To identify any structural abnormalities in the heart and lungs.
Pulse Oximetry: To measure oxygen levels in the blood.
Genetic Testing: To identify any potential genetic syndromes associated with TOF.
The treatment for tetralogy of Fallot at Apollo Hospitals Delhi typically involves surgical intervention, focusing on improving oxygenation and blood flow. The options include:
Initial Stabilisation: Doctors who treat Tetralogy of Fallot prescribe medication such as Prostaglandin E1 to keep the ductus arteriosus open and beta-blockers to reduce heart muscle spasms and manage cyanotic spells.
Surgical Options: These include a complete repair usually performed in infancy, involving closing the VSD with a patch and relieving the pulmonary stenosis. Sometimes, a temporary surgery like a Blalock-Taussig shunt may be performed by cardiac surgeons to improve oxygenation until the baby is ready for complete repair.
Post-Surgery Care: After surgery, patients are closely monitored with regular follow-ups with a cardiologist. Medications may be prescribed to manage symptoms or complications, and certain lifestyle adjustments, including restrictions on strenuous activities, may be recommended.
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