What Do These Following Lab Reports Indicate?

Posted on Thu, 23 Mar 2017

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Thu, 23 Mar 2017 Answered on

Fri, 14 Apr 2017 Last reviewed on

Question : a 3 year old child diagnosed and operated for TOF 2015 , with follow up post op showing RBBB and RVF .All medical reports and Operative documents attached . What is the further prognosis , treatment / surgery required , any developmental problems and complications and future prospects.?

Answered by Dr. Dr Sameer Maheshwari (52 minutes later)

Brief Answer:
No need for any further surgery

Detailed Answer:
Hi Mr XXXXXXX
Welcome.
This is Dr Sameer, cardiologist from Fortis Hospital.
TOF is a serious condition & should be operated within 1 year of birth or maximum within 2 years.
She has gone through the surgery already where her VSD(hole in heart) is closed & Conduit has been placed between RV & pulmonary artery.
I have gone through all the reports, details of surgery & discharge card.
She does not need any further operations. She just need to monitored regularly and regular echos to be done. She will live a normal life & develope normally. Complications arises late in adult life when patients develope breathing difficulty & CHF. Life expectancy is definitely less than a normal child but these days because of effective treatment patients generally live a normal healthy life & life expectancy is more than 60yrs.

RBBB & RVH is normal & is a part of TOF & persists even after surgery. Don't worry about it.

Thanks

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Above answer was peer-reviewed by : Dr. Kampana