Home
About Us
Our Services
New Patients
Forms & Policies
Medical Resources
   Emergencies
   Medical Conditions
      Abdominal Pain, Recurrent
      Acne
      Acute Ear Infections and Your Child
      Acute Lymphoblastic Leukemia
      Acute Otitis Media
      Acute Strep Throat
      Addison
      ADHD and Your School-aged Child
      AIDS/HIV
      Allergies in Children
      Anaphylaxis
      Anemia and Your Young Child
      Anesthesia and Your Child
      Ankle Sprain Treatment (Care of the Young Athlete)
      Antibiotics and Your Child
      Anxiety
      Appendicitis
      Asthma
      Asthma and Exercise (Care of the Young Athlete)
      Asthma and Your Child
      Asthma Triggers
      Atopic Dermatitis (Eczema)
      Attention-Deficit Hyperactivity Disorder
      Attention-Deficit Hyperactivity Disorder (ADHD)
      Breast Enlargement, Premature
      Breath-Holding Spells
      Bronchiolitis
      Bronchiolitis and Your Young Child
      Care of the Premature Infant
      Celiac Disease
      Chickenpox
      Chickenpox Immunization
      Chickenpox Vaccine, The
      Coarctation of the Aorta
      Colds
      Common Childhood Infections
      Congenital Hip Dysplasia
      Constipation
      Constipation and Your Child
      Coxsackie A16
      Croup
      Croup and Your Young Child
      Croup: When Your Child Needs Hospital Care
      Crying and Your Baby: How to Calm a Fussy or Colicky Baby
      Cyclic Vomiting Syndrome (CVS)
      Depression
      Developmental Dysplasia of the Hip
      Diabetic Mother, Infant of
      Diaper Rash
      Diarrhea and Dehydration
      Diarrhea, Vomiting, and Water Loss (Dehydration)
      Ear Infection
      Ear Infections
      Eating Disorders
      Eczema
      Eczema (Atopic Dermatitis)
      Enlarged Lymph Nodes
      Erythema Multiforme
      Eye Problems Related to Headache
      Febrile Seizure
      Febrile Seizures
      Fetal Alcohol Syndrome
      Fever
      Fever and Your Child
      Fifth Disease
      Fifth Disease (Erythema Infectiosum)
      Flu
      Flu, The
      Food Allergies and Your Child
      Food Born Illnesses
      Fragile X Syndrome
      Gastroenteritis, Viral
      Gastroesophageal Reflux
      Giardiasis
      Guide to Children's Dental Health, A
      Hand Foot and Mouth
      Hand-Foot-and-Mouth Disease
      Head Lice
      Headache Related to Eye Problems
      Hemangioma
      Hepatitis A
      Hepatitis A Immunization
      Hepatitis B
      Hepatitis B Immunization
      Hepatitis C
      Hib Immunization
      High Blood Pressure
      Hip Dysplasia (Developmental Dysplasia of the Hip)
      HIV/AIDS
      How to Take Your Child's Temperature?
      Hyperactivity
      Hypertension
      Hypothyroidism
      Immunization
      Infant of a Diabetic Mother
      Infectious Mononucleosis
      Influenza Immunization
      Influenza-Seasonal
      Inhaled and Intranasal Corticosteroids and Your Child
      Kawasaki Syndrome
      Language Development in Young Children
      Lead Poisoning
      Leukemia
      Lung Hypoplasia
      Lyme Disease
      Lymphadenopathy
      Measles
      Mental Health
      Middle Ear Fluid and Your Child
      MMR Immunization
      Molluscum Contagiosum
      Mumps
      Obesity in Childhood
      Osgood-Schlatter Disease
      Otitis Media, Acute
      Pneumococcal Conjugate Immunization
      Pneumonia and Your Child
      Polio Immunization
      Premature Thelarche
      Prematurity
      Prematurity, Retinopathy of
      Pulmonary Hypertension
      Pulmonary Hypertension (PPH & SPH)
      Retinopathy of Prematurity
      Rheumatic Fever, Acute
      Ringworm (Tinea)
      Roseola
      Rotavirus
      Rubella (German Measles)
      Safety of Blood Transfusions
      Scabies
      Seasonal Influenza (Flu) 2014–2015
      Separation Anxiety
      Sinusitis
      Sinusitis and Your Child
      Sleep Apnea and Your Child
      Smoking
      Speech Development in Young Children
      Stevens-Johnson Syndrome
      Strep Throat
      Strep Throat-Acute
      Strep Throat-Recurrent
      Stuttering and the Young Child
      Swine Flu
      Swine Flu (H1N1) FAQ
      Swine Flu (H1N1) Vaccine
      Swollen Glands
      Tattoos
      Tear Duct, Blocked
      Tetralogy of Fallot
      Thyroid Problems
      Tinea (ringworm infection)
      Tonsils and the Adenoid
      Toxic Shock Syndrome
      Toxoplasmosis
      Turner Syndrome
      Type 2 Diabetes: Tips for Healthy Living
      Underdeveloped Lungs
      Urinary Tract Infection
      Urinary Tract Infections in Young Children
      Varicella or Chickenpox
      Varivax Immunization
      Vesicoureteral Reflux
      Wheezing-Infant
      Whooping Cough (Pertussis)
      Wilson Disease
   What's Going Around?
   Pediatrics
Contact Us

Practice News

Anywhere Family Practice is thrilled to announce the addition of Dr. Julie Johnson to our team.
We will be transitioning to a new patient portal in April. Watch for new updates on this website!

Is Your Child Sick?TM

 

Are You Sick?

Tetralogy of Fallot

What is Tetralogy of Fallot?

Tetralogy of Fallot is a congenital heart condition that involves the incorrect formation of the septum between the right and left ventricles. This condition results in mixing of oxygen-rich and oxygen-poor blood across the ventricular septal defect inside the heart. This causes an overall decrease in the amount of oxygen in the blood.

The four functional heart problems that make up a tetralogy of Fallot are:

  • A hole between the ventricles, the lower chambers of the heart. This is called a ventricular septal defect(VSD).
  • A blockage or kink in the pulmonary artery where blood flows from the heart to the lungs
  • The aorta, the largest blood vessel, lies over the VSD, the hole in the lower chambers of the heart
  • The muscle surrounding the lower right chamber is too thick

Tetralogy of Fallot is a congenital heart defect, meaning children are born with it. The cause of the condition is not known. In some situations, it may be associated with certain genetic syndromes, like Di George syndrome.

Children usually show symptoms of the condition and are diagnosed shortly after birth. With treatment, kids with tetralogy of Fallot can lead normal, healthy lives. However, if your child has tetralogy of Fallot, he or she will need follow-up care to monitor any changes in the heart.

top

How is Tetralogy of Fallot treated?

Surgery is the only definitive treatment for children with tetralogy of Fallot. Your doctors will likely schedule your child's surgery by the time he or she turns one year old.

During the surgery, a pediatric cardiac surgeon will fix the hole between the ventricles (the ventricular septal defect) using a patch. The surgeon will also widen the pulmonary artery and fix any problems with the pulmonary valve. This repair will help more blood reach the lungs. The entire procedure is known as intra-cardiac repair.

If your child is too ill or too small for intra-cardiac repair, surgeons will create a temporary solution called a shunt. This is a bypass from the aorta to the pulmonary artery, which will increase blood flow to the lungs until your child is big enough for the final procedure.

top

What are the signs and symptoms of Tetralogy of Fallot?

Children with this heart condition often have a blue tint to their skin, lips and fingernails. This is called cyanosis and means that not enough oxygen-rich blood is reaching the child's body.

Sometimes, a baby only shows signs of cyanosis after crying or feeding. These episodes are called "Tet spells."

Other symptoms of tetralogy of Fallot are:

  • Trouble feeding
  • Poor growth and weight gain
  • Fainting
  • Clubbed fingers

If your child is having any of these symptoms, especially cyanosis, contact us immediately.

top

Diagnosing Tetralogy of Fallot

If us suspects your child has a congenital heart defect, he or she will want to do more tests to examine the heart. These tests will help your cardiologist identify the problem affecting your child and create a treatment plan.

Tests that help cardiologists diagnose tetralogy of Fallot are:

  • Chest x-ray
  • EKG
  • Holter and event monitors
  • ECHO

top

Helpful resources

If you'd like to learn more about tetralogy of Fallot, visit:

top

Reprinted with permission from Children's Hospital Colorado 2012, All rights reserved.