My daughter was born with hypoplastic left heart syndrome and not diagnosed by ultrasound. Why not?

Screening ultrasound. Most probably, you had routine screening ultrasounds by your obstetrician during your pregnancy. Severe forms of hypoplastic left heart syndrome (hlhs) may be picked up by experienced obstetricians during their routine studies, but less severe forms may not. If the obstetrician suspects heart disease, he/she will refer you to a pediatric cardiologist for a complete fetal echocardiogram prenatally.

Related Questions

How hard is it to diagnose? Hypoplastic left heart syndrome during? Pregnancy?

Tricky. Hlhs should be blatantly obvious in the third trimester, if one looks. However, most fetal anatomical surveys are performed at 18-21 weeks, and the full picture of this syndrome may not be esily appreciable at that early point in fetal development. So, in direct answer to your question, hlhs can be missed in over half the cases, unless a late third trimester cardiac evaluation is performed. Read more...

My son has hypoplastic left heart syndrome and he is 11 months. He hasnt been circumsized. So how do I ho about to get him circumsized?

Pediatric Urology. Here in northern california, pediatricians do the circumcisions on newborns. Babies after the newborn period who "want" to get circumcised go to the pediatric urologist, or a regular urologist, in the area. Circumcisions are not medically necessary, so are elective procedures. Even though they are elective, insurance plans may still cover them, so a parent can call the insurer first. Read more...
When at the hospital. If your son has hlhs and is 11 months old, he's undergone his initial "stage 1, norwood" and then at 4-6 months of age had his stage 2 glenn surgery.... Unfortunately, at his age he would likely require some anesthesia which can be difficulty given his glenn flow... I'd discuss the timing and risks with his primary pediatric cardiologist. Read more...
Same answer as Dr. . Murphy's, different perspective: medical necessity? No . Risks of anesthesia vs. Benefits of circumcision? Not worth it. Was it a big deal that my grandson who had open heart surgery for tga shortly after birth could not have a bris, an important jewish ritual? Yes. The primary cardiologist set it up to be done while he was " under " for a cath at 6 months ; the rabbi did a naming ceremony. Read more...

Is it possible? For a baby to survive with? Hypoplastic left heart syndrome?

Sure! The perinatal mortality and infant mortality with hlhs is at least 30%, even in the best centers of congenital heart defects. It is uniformly lethal if undiagnosed/untreated. See: http://texaschildrens.Org/locate/doctors/ayres, -nancy/. Read more...

What are the chances of having more then one child with hypoplastic left heart syndrome?

2-6% with 1-2 sibs. Multifactorial inheritance usually is quoted for hlhs, with a 2% recurrence risk if one prior affected sibling and a 6% recurrence risk with two prior affected siblings. Rarely an autosomal recessive form can be seen with 25% recurrence risk from the same parents. Read more...
Tiny. The genetic influences on heart formation/defects are complex and located on several separate chromosomes.The risk of you having another kid with ANY heart defect (there are lots of them) is about 4%, while that of the same defect is incredibly small. Read more...

Which other surgeries may be performed on a child with hypoplastic left heart syndrome?

HLHS Surgeries. Norwood (stage i) glenn (stage ii) fontan (stage iii) some programs may do a hybrid version of stage i, called the "hybrid stage i". Occasional patients with hlhs will need other procedures depending on their anatomy, but those 3 are the standard surgical treatments. Read more...
See below. There are usually a series of operations that are performed on these children to improve blood flow throughout the body. These patient can also require later surgery to increase the size of the shunts and conduits as the body grows in size. Talk to your surgeon to discuss the future operations that will need to be performed. Read more...

Is Surgery treatment for Hypoplastic left heart syndrome effective? Drs here (Jordan) said that the surgery can only give the child few extra days?

Complex. Surgery needs to be performed in a highly specialized center for cardiac surgery, it is a complex surgery involving several stages, or ultimately a heart transplant, either way, life long follow up is needed, so unless the funds and other support means are available, as social/emotional support, life won't be easy for the child or the family, good luck. Read more...
Maybe there ? My oldest HLH patient is now a married 27 yo cardiac clinic nurse.Her road to health has been complex, and it was truly the skill of a lot of fine surgeons and cardiologists that kept her going when things looked bad. She was on the transplant list for a while.Thirty years ago, we were at the point where your doctors seem to be. Read more...

What age can some 1 live 2 with hypoplastic left heart syndrome?

Tough to say. I've seen patients live into their 20's with hlhs, but it is hard to imagine how different things will be 20 years from now. An excellent surgeon is a crucial factor. Read more...
Unknown. The operation for this problem has been around since the late 70's. But long term survivors are still not that frequent. It is fair to say that a normal life span is probably not going to happen. Getting to age 30 or 40 may be the best, most optomistic prediction without a heart transplant, which is likely next option. However, some patients, even though few, will likely live longer. Read more...

How does anyone know someone has hypoplastic left heart syndrome?

Echocardiogram. An infant will be suspected as having heart defect by examination and pulse oximetry. A pediatric cardiologist will perform an echocardiogram to make the diagnosis. The infant may appear very normal on the outside. Once changes occur in the newborn infant hlhs is not compatible with life without surgical intervention. A fetal echo by an experienced ped cardiologist can id this before birth. Read more...