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Tetralogy of Fallot has four components. 1) ventricular septal defect: a large hole between the ventricles that allows
venous (bluish) blood to pass from the right ventricle to the left. From there is goes to the aorta and on to the body
without passing through the lungs to be refreshed with oxygen. 2) stenosis at or around the pulmonary valve. In Ally's
case she has subvalvar (below valve), valvar (at valve), and supravalvar (above valve) stenosis. Stenosis means narrowing.
3) the right ventricle is more muscular than normal. 4) the aorta lies directly over the ventricular septal defect (VSD).
Ally was diagnosed with Tetralogy of Fallot (TOF) with hypoplastic (underdeveloped) pulmonary valve and main pulmonary
artery; anomalous cornary circulation with the left anterior descending (LAD) from the right and crossing the right ventricle
outflow tract (RVOT); subvalvar,valvar, supravalvar pulmonary artery stenosis.
On 1/22/02 at six days old Ally had a BT shunt placed to help get oxygenated blood throughout her body. The shunt
connected the pulmonary artery to the aorta.
On 8/20/02 Ally had open heart surgery to repair her TOF. The surgeon (Dr. Bove) and his team did a patch
closure of the VSD, muscle resection of the of the RVOT, repair of the left pulmonary artery stenosis, and tookdown the shunt.
| August 22, 02 |
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| One day post-op |
| chest tubes gone - |
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| Let's play!! |
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