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A heart condition can be seen even in the womb. Early diagnosis methods developed for the successful treatment of diseases in tiny hearts are of great importance.
Head of Department of Pediatric Cardiology, Acıbadem Bakırköy Hospital Dr. Ayse Sarioglu, more before opening their eyes to capture the main heart diseases and the most prominent among them gave information about the first five.
Atrioventricular Septal Defect
It is called Atrioventricular Septal Defect, where there is a large hole between the atria and ventricles of the unborn baby and a single valve instead of two separate valves between the atria and ventricles. This condition is more common in children with mongol or Down syndrome. Therefore, a test called verilen Chromosome Analysis gerekiyor should be performed while still in the womb. When the discomfort is noticed, the treatment cannot be performed in the womb. Babies with this condition develop without problems until birth. Interventions can be done after birth. However, if Down syndrome is detected as a result of the test, pregnancy can be terminated.
Pulmonary artery closure of the baby's heart is closed, the pulmonary artery partially or completely not called Pulmonary Atresia. Pulmonary atresia may occur alone or in combination with other heart problems. Although prenatal is usually not a problem, serious problems arise with bruising with childbirth. Urgent drug treatment and surgery is necessary because the birth of pediatric cardiology and cardiac surgery should be planned in a center.
Hypoplastic Left Heart Syndrome
The left ventricle of the heart does not develop and remain very small is called Hypoplastic Left Heart Syndrome. Discomfort can also occur if the aortic vessel that carries the clean blood from the heart to the whole body is closed or if this vessel is thin. Babies found to have this condition may need to undergo a series of operations after birth. Therefore, it is important to diagnose the disease in the womb.
Transposition of Great Arteries
In the body, the lung artery from the right ventricle to the lungs, the left ventricle from the aorta that leads to clean blood from the whole body comes out. In the Transposition of the Great Arteries, the opposite is a vein configuration. In other words, lung artery arteries from the left ventricle and aortic vessel from the right ventricle and as a result of this, the process of carrying blood in the body is reversed. These babies do not have any problems until birth, but the baby bruises as soon as they are born and needs to be intervened immediately. Sometimes there may be problems in the womb and premature birth is needed, so close monitoring of the heart during pregnancy is required. The intervention of these babies provides a completely normal circulation system and thus a normal life by changing the position of the vessels. Since intervention is required as soon as the baby is born, it is vital to plan the birth in advance (such as where the baby will be born, where the intervention will take place).
Tetralogy of Fallot
In this condition, four heart-related disorders are seen together. There is a very large hole between the ventricles in the baby's heart, there is stenosis in the arterial valve or under the valve that goes from the heart to the lung, or the pulmonary artery may not be partially or completely. In some cases it can be small or thin. In addition, aortic artery and blood from the right ventricle and left ventricle is taken to the right as blood is taken. With them, thickening of the right ventricular wall occurs. Babies with Tetralogy of Fallot can live without problems until birth. But after the baby is born, the circulation is normalized and the vessel called 'ductus' closes. Therefore, the baby appears severe bruising and urgent intervention may be required. Fallot in general
Babies with tetralogy can have normal or near-normal quality of life and life expectancy with surgical treatment after birth. For this reason, early diagnosis becomes more important in the womb.
Fetal Echocardiography diagnoses heart diseases in the womb
In the last few years, the heart problems of the unborn baby can be detected very early. Fetal Echocardiography method, in which almost all complex heart diseases can be detected correctly, gives very reliable results. It doesn't hurt the baby or the mother. Conditions that may cause problems for the mother (congenital heart disease, exposure to certain medications, smoking and alcohol intake, some infections during pregnancy, chronic diseases such as diabetes, etc.), infant diseases (chromosomal abnormalities, heart rhythm irregularities, normal USG examination of heart disease suspected) and family-related conditions that may affect the baby (congenital heart disease in the family,
consanguineous marriages or some special circumstances, etc.). After these assessments according to the risk of congenital heart disease, 14-16. Fetal echocardiography can be diagnosed from the first week onwards. Thus, the treatment of the baby can be planned in advance.