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Hello doctor,
I am 34 years old this year. I just found out I have APSO 4 congenital heart disease, now I'm on medication. For the past few days, I've been feeling nervous and my heart beats fast. I want to ask the doctor: What are the symptoms of APSO 4 disease?
Anonymous customer
Answer
Hello,
To the question "What are the symptoms of APSO 4 disease?", the doctor would like to answer as follows:
Do you have APSO disease or translate into Vietnamese as atrophy? Pulmonary valve with ventricular septal defect. This is a serious congenital heart disease. Anatomically, there are 4 APSO types:
Body 1: the pulmonary artery body and 2 normal pulmonary artery branches, blood from the aorta through the ductus arteriosus into the pulmonary artery
Type 2: no pulmonary trunk but 2 normal pulmonary branches and aorta, blood from the aorta through the aorta into the two pulmonary branches.
Type 3: there is no pulmonary trunk, atrophy of the pulmonary branches, atrophy of the aorta, blood to the lungs mostly through the collateral arteries.
Type 4: there is no pulmonary trunk, 2 branches of the pulmonary artery and atrophy of the aorta, blood to the lungs completely through the collateral arteries. Prognosis and indications for treatment depend on the type. For types 1 and 2, the prognosis is good because it can be completely corrected by fitting a prosthetic valve to the atrophied pulmonary valve, and closing the ventricular septal defect (usually through 2 stages, with surgery as early as 12 months, the prognosis is poor). better quality). For types 3 and 4, the prognosis is poor because it cannot be completely repaired, but can only be temporarily corrected to provide a partial blood supply to the lungs: create a Glenn or Fontan shunt.
In which type 4 is the heaviest: the pulmonary artery trunk and 2 branches completely atrophy, the ductus arteriosus also often atrophy. Therefore, the blood supply to the lungs is provided by the collateral arteries. APSO type 4 cannot be surgically corrected, but often uses shunt surgery to supply blood to the lungs as much as possible: Glenn surgery, Fontan surgery. You are 34 years old is also an obstacle for surgery indications. It is best with current health problems, you go to large hospitals with good examination quality to be examined by a doctor and given specific treatment directions.
If you still have questions about the symptoms of APSO 4 disease, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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Answered by Specialist Doctor II Nguyen Bang Phong - Cardiologist - Cardiovascular Center - Vinmec Times City International General Hospital.
