Indication:
complex heart disease

History:
7 months , failure to thrive - 2.5 kg , today - 6.8kg,
cyanosis detected since - 1 month and diagnosed as left isomeric heart , singleventricle , single av valve , large asd,

o/e:
pulse oxymetry : 78 % heart rate 135 bpm,
second heart sound - loud ,
no obvious murmur detected

echo:
left isomeric heart ,
azygous continuation of ivc into left svc ,
also has a right (smaller ) right svc
av septal defect ( primum asd) but only a single funcitoning ventricle noted
common av valve -very mild av valvular regurgitation
severe pulmonary stenosis (bordering into pulmonary atresia with pulmonary artery to the left and posterior to the aorta
hypoplastic pulmonary arterial branches measuring ~ 2.9 mm (left and right)
aorta - right sided

ecg : not done


conclusion:
left isomeric heart
av septal defect ( common av valve) ,
severe pulmonary stenosis ,
hypoplastic pulmonary arteries (main and branches)

为什么老天爷你要跟我开这种玩笑？
为什么你要这样对我的宝贝？
为什么你这么得空不去惩罚坏人，要来欺负我的Bernard?
不要这样好吗？
求求你！求求你!
我一怀孕，就很开心，十个月很难才挨过去
很痛的把他生下来
请你不要随便就把他call回去，绝对不要！
如果Berbard会好，我愿意减20年的寿命
其他的时间让我看着他成长，陪着他
求求你老天爷 我的命是很不值钱，可是可以用来换Bernard的健康吗？


你看看，有多少人为他担心？
多少人为他祝福，
你 感受到吗？
我求你了


我真的求求你了


我们一家人真的不能没有他！