Common Cardiac Conditions
- ASD Surgery in Delhi
- VSD Surgery in Children in Delhi
- Best PDA Surgery in Delhi
- Coarctation of Aorta Treatment in Delhi
- Aortic Stenosis Treatment in Delhi
- Pulmonary Stenosis
- Atrio-Ventricular Septal Defect (AVSD/AVCD)
- RSOV Treatment in Delhi
- Eisenmenger Syndrome/ Complex
- Tetralogy of Fallot Treatment
- Transposition of Great Arteries (d-TGA)
- Total anomalous pulmonary venous connection treatment in Delhi
- Truncus Arteriosus
- Tricuspid Atresia
- Double Outlet Ventricle
- Congenitally Corrected Transposition of great vessels in Delhi
- Ebstein’s Anomaly
- Pulmonart Atresia (PA) Without VSD/Intact Septum
- Pulmonart Atresia (PA) with VSD
- Hypoplastic Left Heart Syndrome
- Stenosis of Pulmonary Artery Branches
- Patent Foramen Ovale (PFO)
- AP Window Device Closure
- Vascular Rings
- Interrupted Aortic Arch (IAA)
- Bicuspid Aortic Valve Treatment
- SVT treatment in children
This is a very rare congenital heart disease. It is characterized by sudden cut off in distal part of aorta (vessel that supplies blood to body parts).
It is almost always associated with cardiac anomalies, like ventricular septal defect, aorto-pulmonary window etc.
It is classified into 3 types. Commonest is type B form of IAA.
Clinical presentation in cases of Interrupted aortic arch includes:
Difficulty in breathing, bluish discoloration of finger and lip etc.
In advanced cases, child may presents in shock like state due to insufficient blood flow to affected body parts. It occurs with closure of the patent ductus arteriosus (PDA).
Depending of affected organ, child may have:
Injury to liver, kidney, intestines
Diagnosis
Children echocardiogram is required for diagnosing interrupted aortic arch.
Occasionally, we need to do CT scan for confirming the diagnosis.
“Fetal echocardiogram” that we do during pregnancy can easily diagnose this disease.
Treatment
If diagnosed before delivery then delivery is advised in a tertiary care center where facility of pediatric cardiology is available.
Prostaglanding can be started after birth for maintaining the patency of PDA.
Definitive treatment is only by doing open heart surgery as early as possible.
Prognosis
Without surgery, there is very high risk for mortality of the baby. Now a day, there is a very good outcome of surgical repair.