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Sumber: Present From Birth (Congenital)
Sumber: Present From Birth (Congenital)
Baldwin HS, Dees Ellen. Embryology and physiology of the cardiovascular system. In: Gleason CA,
Devaskar S, eds. Avery's Diseases of the Newborn. 9th ed. Philadelphia, PA: Saunders Elsevier;
2011:chap 50.
(http://www.nlm.nih.gov/medlineplus/ency/article/007328.htm)
Pulmonary atresia
Symptoms
Symptoms of DORV may include:
Clubbing (thickening of the nail beds) on toes and fingers (late sign)
Pale coloring
Sweating
Trouble breathing
Enlarged heart
Heart murmur
Rapid breathing
Rapid heartbeat
Chest x-rays
Passing a thin, flexible tube into the heart to measure blood pressure and inject dye for special
pictures of the heart and arteries (cardiac catheterization)
Treatment
Treatment requires surgery to close the hole in the heart and direct blood from the left ventricle into the
aorta. Surgery may also be needed to move the pulmonary artery or aorta.
Factors that determine the type and number of operations the baby needs include:
Outlook (Prognosis)
How well the baby does depends on:
The presence of other complications (such as coarctation of the aorta and mitral valve problems)
Whether lung damage has occurred from too much blood flowing to the lungs for a long period of
time
Possible Complications
Complications from DORV may include:
Irreversible damage to the lungs due to untreated high blood pressure in the lungs
Children with this congenital heart disease may need to take antibiotics before dental treatment. This
prevents infections around the heart. Antibiotics may also be needed after surgery.
When to Contact a Medical Professional
Call your health care provider if your child seems to tire easily, has trouble breathing, or has bluish skin or
lips. You should also consult your health care provider if your baby is not growing or gaining weight.