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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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I am planning to adopt internationally and I've been asked

Answered by
Dr.
Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 1312 Questions

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Posted on Tue, 12 Feb 2019 in Hypertension and Heart Disease
Question: I am planning to adopt internationally and I've been asked to consider a child with a heart condition. Before I spend a lot of money on a medical file review I'm wondering if I can get an idea of how severe this child's heart condition is. If it is a situation with a short life expectancy or poor quality of life I am not likely to move forward due to its impact on the children i already have. They're is not a lot described in english but I did find this description. The child turned 6 in December and is postoperative, it is unclear if this description read written prior to or post surgery. "Liver in left upper abdomen, spleen in right upper abdomen
The heart is in right thoracic cavity, the apex points to right front. The anatomical left ventricle is in right side, transverse diameter 12mm, smaller. The anatomical right ventricle is in left side, transverse diameter 23mm, larger. Ventricle right loop. The inferior vena cava drains into the left atrium, right atrium. The pulmonary vein drains into the right atrium, left atrium. Suggest sistus Inversus viscerum
There are discontinuous echoes from upper inerventricular septum and atrial septum, VSD 10mm, ASD 8mm
There is a group of common atrioventricular valve, average opening and closing. The attachment point of tendon is in left side of IVS.
The aorta and main pulmonary artery originate from the anatomical right ventricle in left side. The aorta is in the front. The aortic sinus is seen clearly, diameter 13mm. The pulmonary artery is at back, diameter 10mm. There is a similar branch at the distal end. CDFI: the flows of aorta and pulmonary artery filled well. No color turbulence is detected."
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Answered by Dr. Bhanu Partap 1 hour later
Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

After going through the medical details provided by you I would like to tell you that there is situs inversus which means all the major organs are located in the opposite side along with PAPVC ( Partial Anomalous Pulmonary venous connections).

These type of significant structural defects and will require a major corrective cardiac surgeries.

These type Of surgeries require high level of expertise and also has a high complication as well as not a very good prognosis.

However a detailed evaluation by an experienced paediatric cardiac surgeon is highly recommended for a proper guidance.
Above answer was peer-reviewed by : Dr. Nagamani Ng
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