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Pediatric Congenital Heart Disease Specialist in Wichita, KS

One out of every 100 infants born in the United States has a congenital heart defect, or a defect the infant was born with. It is a problem that occurred as the baby’s heart was developing during pregnancy. Most congenital heart defects have an unknown cause. For some congenital heart defects, the child may “grow out of it” or it may spontaneously resolve. Other defects may need medication, a procedure, or surgical intervention to fix. 

Screening:

  1. Recommended after 24 hours of life
  2. Recommended to use the right hand and one foot
  3. Considered positive if:
    • An oxygen saturation measure is <90%
    • Oxygen saturation is <95% in both extremities on 3 measures 
    • There is a >3% absolute difference in oxygen saturation between the right hand and foot on 3 measures

TOO MUCH blood going to the LUNGS

Oxygen-rich blood that should be traveling to the rest of the body is instead recirculating to the lungs. This adds increased pressure and stress on the lungs.

  • Ventricular septal defect (VSD)
  • Atrial septal defect (ASD)
  • Patent ductus arteriosus (PDA)
  • Atrioventricular septal defect

TOO LITTLE blood going to the LUNGS

This allows oxygen-poor blood to circulate throughout the body. In these cases, the baby may be “blue” from a lack of oxygenated blood. 

  • Tetralogy of Fallot (TOF)
  • Transposition of the great arteries
  • Tricuspid atresia
  • Total anomalous pulmonary venous return

TOO LITTLE blood traveling to the BODY

This occurs when there is a blockage or underdeveloped heart chambers that impedes blood from circulating through the body. 

  • Pulmonary stenosis (PS)
  • Aortic stenosis (AS)
  • Coarctation of the aorta (COA)
  • Hypoplastic left heart syndrome

**In some cases, the child may have a complicated defect that falls into several of these categories.