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Re: Tetralogy of Fallot w/ absent Pulmonary Valve in Subsequent Pregnancies? From: Charlie Chambers (ricechaz@earthlink.net) Sat Jun 24 12:35:25 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Charlie Chambers: "Re: Lupus and pregnancy" Previous message: Jamie: "Re: Third stage, how long?" In reply to: Jennifer Duggan: "Tetralogy of Fallot w/ absent Pulmonary Valve in Subsequent Pregnancies?" Next in thread: Jennifer Duggan: "Re: Tetralogy of Fallot w/ absent Pulmonary Valve in Subsequent Pregnancies?" Reply: Jennifer Duggan: "Re: Tetralogy of Fallot w/ absent Pulmonary Valve in Subsequent Pregnancies?" Assuming no genetic basis for the cardiac anomaly, her recurrence risk is low, roughly 3% in subsequent pregnancies. Genetic amnio won't be of use unless she's AMA. Consider nuchal translucency testing, roughly 40% of CV anomalies will have abnormal testing, and later fetal echo. On Jun 24, 2006, at 12:39 AM, Jennifer Duggan wrote: > I have a client who lost her daughter two yrs ago(at almost 2yrs > old) to > Tetralogy of Fallot with absent Pulmonary Valve. Her daughter did not > have any other associated disorders. > > She is considering having another baby and is wondering about the risk > of another child having a heart defect. I have recommended she see a > genetic counsellor, but she wants to have an idea of what she might be > in for before going. > > The only information I have been able to find is that there is a > possibility of Tet being associated with the deletion of chromosome 22 > as well as the jagged1 gene in familial related defects. Noone > else in > her family has Tet or any other associated syndromes. > > Can any of you tell me if there is any increased risk of Tet occurring > again, or of any other heart defects? > > Thanks...:) > Jennifer Duggan, CPM > ************************************************************************ **** Charlie Chambers -- Hood River, OR cchamber@alumni.rice.edu "Almost anything you do will seem insignificant but it is very important that you do it....You must be the change you wish to see in the world" -- Mahatma Ghandi. ************************************************************************ ******* Next message: Charlie Chambers: "Re: Lupus and pregnancy" Previous message: Jamie: "Re: Third stage, how long?" In reply to: Jennifer Duggan: "Tetralogy of Fallot w/ absent Pulmonary Valve in Subsequent Pregnancies?" Next in thread: Jennifer Duggan: "Re: Tetralogy of Fallot w/ absent Pulmonary Valve in Subsequent Pregnancies?" Reply: Jennifer Duggan: "Re: Tetralogy of Fallot w/ absent Pulmonary Valve in Subsequent Pregnancies?"

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