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  • Nur Ainun

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    Siti Huzaifahh
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    A 5-year, 10-month-old girl presented with cyanosis since age 2. She has a history of Tetralogy of Fallot diagnosed in June 2022. On physical exam, she had cyanosis, clubbed fingers, an ejection systolic murmur, and lower oxygen saturation levels preductally and postductally. An echocardiogram showed findings consistent with Tetralogy of Fallot, including ventricular septal defect, overriding aorta, right ventricular hypertrophy, and severe pulmonary stenosis. The conclusion was Tetralogy of Fallot. The treatment plan included a right heart catheterization and referral for total corrective surgery.

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    NUR AINUN

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    A 5-year, 10-month-old girl presented with cyanosis since age 2. She has a history of Tetralogy of Fallot diagnosed in June 2022. On physical exam, she had cyanosis, clubbed fingers, an ejection systolic murmur, and lower oxygen saturation levels preductally and postductally. An echocardiogram showed findings consistent with Tetralogy of Fallot, including ventricular septal defect, overriding aorta, right ventricular hypertrophy, and severe pulmonary stenosis. The conclusion was Tetralogy of Fallot. The treatment plan included a right heart catheterization and referral for total corrective surgery.

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    2 views33 pages

    Nur Ainun

    Uploaded by

    Siti Huzaifahh
    A 5-year, 10-month-old girl presented with cyanosis since age 2. She has a history of Tetralogy of Fallot diagnosed in June 2022. On physical exam, she had cyanosis, clubbed fingers, an ejection systolic murmur, and lower oxygen saturation levels preductally and postductally. An echocardiogram showed findings consistent with Tetralogy of Fallot, including ventricular septal defect, overriding aorta, right ventricular hypertrophy, and severe pulmonary stenosis. The conclusion was Tetralogy of Fallot. The treatment plan included a right heart catheterization and referral for total corrective surgery.

    Copyright:

    © All Rights Reserved
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    of 33

    CONFERENCE

    PATIENT IDENTITY

    • Name : Nur Ainun


    • Sex : Female
    • Date of birth/Age : 27-09-2016/5 years 10
    month
    • MR : 986802
    • Address : Enrekang
    Aa girl aged 5 years 9 months came with chief complaints of blue since the age of 2 years,
    There was cough, No shorthness of breath.
    No fever, no seizure
    No vomiting.
    Poor appetite

    Urination : normal, yellow


    Defecation : normal, yellow

    History of being treated at the Malepadada Hospital, Toraja in June 2022 with diagnosis Tetralogy of Fallot
    - There was of cyanosis
    - There was difficult to gaining weight
    - The patient was born spontaneusly, cry
    immediately, BW 3,3 kg , BL 49 cm
    - History of congenital heart disease in family (-)
    - History of recurrent respiratory tract infection
    (+).
    PHYSICAL EXAMINATION
    Not pale, no jaundice
    Compos mentis There was cyanosis, No edema
    BP : 90/60 mmHg No lymphadenopathy
    Pulse: 136 beats/minute Pharynx was not hyperemic,
    Tonsils T1-T1 were not hyperemic
    Breath: 28 times/minute
    Temperature: 37 Respirology:
    SpO2 : Vesicular breath sounds
    Preductal: 89% No Ronchi
    No Wheezing
    Postductal: 87%
    Cardivascular:
    Weight : 12 kg Single S1st / S2nd normal,
    There was ejeksi systolic murmur
    Height : 98 cm
    Ekstremities: warm acral,
    CRT < 2 second,
    There was clubbing finger
    • RUMAH SAKIT DR WAHIDIN SUDIROHUSODO
    • BAGIAN KARDIOLOGI UNIT ECHOCARDIOGRAPHY
    • Jl. Perintis Kemerdekaan KM 11, Telp (0411) 587939
    • MAKASSAR 90254
    • ECHOCARDIOGRAPHY REPORT
    • Nama : Nur Ainun
    • Tanggal lahir : 27-09-2016
    • No. RM : 986802
    • Atrial vitus solitus
    • AV-VA concordance
    • All PV drain to LA
    • Balance four chamber
    • Overriding Aorta
    • RVH
    • No TR, No MR
    • Trivial PR
    • Intact IAS, no ASD seen
    • Malaligment VSD with overriding Aorta > 50 %
    • Severe pulmonalis infundibular PS PG 67 mmHg
    • Confluent PA, RPA 7 mm, LVA 6 mm
    • No RVOT obstruction, No LVOT obstruction
    • good contracting ventricle
    • LV systolic function EF 62%, FS 29%
    • LV diastolic function 0,4
    • RV systolic function E/A 2,0
    • Left aortic aarch no CoA
    • No pericardial effusion posterior

    •
    Conclusion
    • Tetralogy of Fallot
    • Advice :
    • Plan for total correction surgery refer to RSCM
    Assesment
    - TETRALOLGY OF FALLOT
    • PLANNING : RIGHT HEART CATETERIZATION
    THANK YOU

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