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Heart abnormalities (20 week scan)

48 replies

cocop0pz · 05/08/2019 06:02

Hi All - we had our 20 week scan done on the 27/7/19. This scan took almost 2 hours to do as our DS was in an awkward position and was being stubborn and not changing the position he was in (obviously he was comfy!). I had to jump on the spot and eventually go for a walk - unfortunately this did not put him in a better position.

The technician was young and didn't seem too confident - she was having real trouble getting images of his heart. She ended up getting a co-worker to come in and take over (while she sat next to her). The senior sonographer was having difficulties also. They went off to 'check with their senior' to see if the heart images captured were significant. That was that and we were finally able to go home.

We took home a disc with 75+ pictures on it! This was a huge amount considering our previous pregnancy we only had about 30-40 pictures of her 20 week scan.

Fast forward to our doctors appointment the following Wednesday, he told us that some heart abnormalities were found. I was shocked! Apparently this baby has a narrow LVOT, dilated RVOT and possible VSD. We've been referred to see a specialist this Wednesday (7/8/19) in hopes of some clarification and possible diagnosis.

His heart beat was normal and I even saw a picture with '4 chamber' written on it... the thought of having a baby with a defect is disheartening and i'm naturally worried. I'm trying to stay positive but I find myself having outbursts of tears with worst case scenarios going through my head.

Has anyone else gone through similar and if so, what was your outcome?

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cocop0pz · 23/10/2019 07:42

Thanks for the support ladies :)

We had our scan with the cardiologist on the 16th October (which just so happens to be our 6 year anniversary so I was hoping for a good day and a good scan).

The cardiologist confirmed that baby boys left ventricle had indeed caught up in size to the right ventricle, which is great news. No concerns there at all! He then went on to say that the aorta is still narrow but now, he thinks the ascending aorta is narrow too (first time we've heard this after 2 previous scans)... then he tells us he is concerned about the ascending aorta and whether or not it is fixable?! This guy is not good with his words. It felt like he practically gave our child a death sentence then and there. "The aorta is easy, but this pointing to the ascending aorta i'm concerned about this, because it looks narrow, and we will need to wait and see if it's fixable". His exact quote -.-

He was looking back and fourth at the mitral valve too.. and again he's not sure if it's opening and closing the way it should be. Everything about this appointment was one big ole shrug on his part. This appointment reminded me a little of our first with him. He finished up with "we will just have to wait and see when he is born" he couldn't even confirm if surgery is required or not.. but at the same time, I guess it is hard when trying to do an echo through a very pregnant person LOL.

Anyway, we are still staying strong with this one, I have all faith that this will indeed be fixable. We've been having scans done by two different doctors (the cardiologist and a professor who done my amnio test) and this is our last with the cardiologist - thank god.

We have another upcoming ultrasound with the professor on the 7th November - he always seems to be a bit more relaxed and positive.. so it will be nice to see him again and to see what he says!

5 and a half weeks to go until baby boy is here. We can't wait to meet him, and I can't wait to not be pregnant LOL

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goodforbrian · 25/10/2019 12:13

Oh wow @cocop0pz ! Some good news there... focus on that! I know exactly what you mean about 'shruggy' doctors. We encountered a few during my pregnancy/NICU and honestly they broke my heart every time! But thinking logically, this is there job and I suppose they have to remove emotion if that makes sense?
Not long now until you meet your beautiful little boy! I bet you are so excited!
I'll be thinking of you and keeping everything crossed for you. Everything will be ok, you seem so positive and that will serve you well. Hope to hear an update from you soon x

cocop0pz · 01/11/2019 07:42

Thanks @goodforbrian !

Just a small update - we haven't had another scan since 16th October but are due for our next one on the 7th November (this is with the professor for a growth scan, rather than with the cardiologist). He has years of experience so we are going to have him look at the ascending aorta and mitral valve to see what he thinks.

We had our routine midwife appointment yesterday, all is well and baby boy has a strong heartbeat. He is head down and ready to go! (4 weeks and counting). I'm hoping he does not come early as I don't want a prem and heart baby lol!

We got to do a tour of the Perth Children's Hospital - which is less than a year old. Super modern, decked out.. it's amazing! A doctor based there took us for a tour of the NICU. We got to see all the little bubs hooked up to their equipment (from a distance obviously) and while this may sound very confronting, we actually found comfort in the experience because 1) we can see how well organised and supervised these little bubs are 2) it puts into the perspective that there are sooo many babies and families that go through the same thing as us. We went from the NICU to the PICU and through to the ward where babies were getting ready to go home. It was kinda refreshing, and I totally forgot how little newborns were!

He sat us down and had a really good chat to us about what to expect, possible outcomes of what could happen after birth and even mentioned our babies heart condition being 'straight forward and quite an easy procedure in the CHD world to fix'. He even gave us a rundown of the amount of time the average baby spends in the NICU. So between 2-7 days of monitoring. Normally day 3-7 is when surgery will occur if required (pending the monitoring). 1-2 days in the surgery recovery ward, back to NICU for further observation/recovery 2-3 days, to PICU once baby is stable, then to the ward getting ready to go home - ensuring baby is feeding well etc. The routine exit a normal baby would have otherwise. Overall the average baby spends about 2 weeks on average through the whole lot, if not just over.

I'll update after our next scan but from this point on wards, I don't suspect anything interesting to happen for the remainder of pregnancy! I'm ready to pop.

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brightbird · 01/11/2019 16:33

all sounds very hopeful - good luck!

goodforbrian · 14/11/2019 10:54

Hi @cocop0pz I hope you and bump are enjoying these last few weeks as one Smile How was your scan on the 7th? How is everything in general? Thinking of you x

cocop0pz · 19/11/2019 02:34

@goodforbrian thanks for your reply :)

The scan went well, baby's kidneys and everything are in perfect condition.. his head is measuring big though (nothing to be worried about.. and thank god i'm geting a c-section lol)! We had the scan with the professor (rather than the cardiologist) and unfortunately bubs was facing chest down so it was very difficult to even see the heart. We were not able to get a second opinion at this scan but that's OK :)

We had an appointment on the 14 November with the midwife then the obstetrician and finally a pediatrician at the hospital. All went really well, the pedi told us the final prenatal diagnosis of babys heart is hypoplastic aortic arch, small ASD and a small mitral valve. He said not to worry too much about the ASD or mitral valve, the main focus was on the arch and repair itself. Once again he said they would only be able to tell exactly what's going on once he's here - I've learnt to just go with the flow at this point, we have no control over any of this anyway and at the end of the day.. we are having a baby and that's something to be excited about :)

Our pre-admission appointment is on the 3rd December.. and he'll be here on the 4th! We can't wait :) on a plus.. my last day of work is this Friday coming so I am pumped!

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cocop0pz · 05/12/2019 19:43

He’s here!!

Our little Kylo arrived on the 4 December 2019 at 2:02pm. We had a team of pedi doctors awaiting his arrival given his prenatal diagnosis. Two were the highest level you can get when it comes to baby doctors (sorry forgot the medical names!).

He was a good size (3.85kg or 8.4lbs) and 53cm! I got quick cuddle and kisses before they whisked him off to be checked over (my partner going with him). I was then sewn up and wheeled into recovery. Finally made it to my room about 2hrs later. My partner came to see me briefly and said little man is all good but does indeed have a heart condition as suspected. His normal newborn checks came back great. My partner then got a call saying they were transferring little man straight to the children’s hospital nearby. He said goodbye and rushed off (I had previously told him if this happens I would prefer him to be with our little one).

At the children’s hospital they did some scans of the heart including a CT and the diagnosis we got was hypoplastic aortic arch, Coarctation of the aorta, aortic valve stenosis and borderline small left ventricle. At this point they told us he may need to go to Melbourne for surgery. Not ideal as we are in Perth and that’s the other side of the country. However if that’s what was best for him than so be it, was something we were willing to do.

Fast forward to today and I got the all clear at 3pm to go see him! I met the cardiologist and we went off to see Kylo. I got first snuggles and happily sat speaking with the cardiologist, baby in arms. He had a 3D printout of Kylos heart and told us both that the surgery would most likely be done here in Perth! Huge relief. He said they still needed to have a group discussion but Melbourne was highly unlikely at this point. The surgery will be this Tuesday (funnily enough, his actual due date - 10 dec). They plan to fix all parts of the aortic arch during this. He said it’s a full on surgery and Kylo will be quite unwell after. He’s expected to be in hospital for a month-ish and if all goes well, we get to bring him home early January!

Fingers crossed!

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flissity · 05/12/2019 19:48

Wow what a journey! Have read your thread before, congratulations!!

I have no advise for future but just wanted to say best of luck with everything. And I hope you are ok too, recovery etc..

Must have been amazing to finally see and hold him xxx

BeardofZeus · 05/12/2019 20:00

Congratulations on the birth of baby kylo!! Sounds like next Tuesday will be a long day for you, so just remember to look after yourself as much as you can. And fingers crossed that the surgery goes well and recovery is smooth Smile

friskybivalves · 05/12/2019 20:16

Great news (I lurked on your thread previously) and what an amazing healthy weight! That's got to be a positive for kylo in the days ahead. Good luck for the surgery and thank heavens you don't hve to trek to Melbourne!

goodforbrian · 05/12/2019 20:47

Oh wow wow wow! Congratulations on the birth of your baby boy Kylo! I am so happy for you and your family and all seems to be going as well as could be hoped!
Ahh this has made me so happy! Please keep us updated and all the very best foe little mans operation! Xx

Onedaymyluckwillchange · 05/12/2019 22:18

Huge congratulations on the birth of baby Kylo. I hope you are recovering well and managing to get some much important rest and sleep to keep you going. Wishing you all the best and please keep us posted. It sounds like he is in very good hands.

cocop0pz · 05/12/2019 23:00

Thanks everyone! Sorry I didn’t realise you could attach pics so here is one for good measure :)

I’ll post updates once he’s surgery is complete. Thanks for the wishes Grin

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stophuggingme · 09/12/2019 16:03

He is absolutely gorgeous. Huge congratulations. I hope the operation is a complete success and your little boy is OK.

Sending love and best wishes to you and your family ❤️

cocop0pz · 09/03/2020 14:09

I never got to update during Kylos urgent as it was a very busy and rough 3 weeks.

Kylo had his surgery at 6 days old, this took approximately 6 hours and we got updates from the nurse as things progressed. They used donor tissue to patch his hypoplastic aortic arch and closed an ASD. The surgery went well and we got nothing but possitive updates during the whole thing.

That was the hardest day of my life! The worst was having to kiss him goodbye and watch him get wheeled off to surgery. Poor little guy had no idea what he was in for. My partners step-brother and his fiancé had us over for the whole time Kylo was in surgery, which was great because they got our minds off things.

Once we got the call that Kylos surgery was done we said our goodbyes and headed back to the children’s hospital. I was sobbing the whole way there because I was just glad it was over and it went well. My partner held my hand and assured me everything was just going to get better. I admired him greatly that day as he really did keep his cool and didn’t break once. He really was my rock and was strong for us both when I couldn’t be.

When we saw Kylo, he was much different from the bub I was use to seeing. He was hooked up to all these pumps, had tubes coming out of his belly. He was swollen. Sedated. Not the baby I remember. It was rough. I was glad he’d never remember this. We sat by him for a long time and the nurse had arranged us a room at the Ronald McDonald house a few levels up from Kylo.

Day 2 & 3 thin gs started getting better. His drainage tubes were out on day 2 and by that night they had taken him off ventilation. Day 3 we went to see him and to our surprise he was hooked up to a breathing machine that looked terrible.. he was awake and had this white beenie on, with what looked like a snorkel jammed up his nose! To top that off, the beenie had a dummy/pacifier strap that just jammed the dummy in. I soon learnt this was called “bubble c-Papp”. The purpose of the pacifier/dummy being in his mouth was so he didn’t breathe through his mouth. In order for this machine to work, he had to breath through his nose. My poor darling was letting out cries of misery and I couldn’t even pick him up. I grabbed his hand and ensured him this was only temporary. Day 4, we got a call early on in the morning saying his breathing had worsened and they did x-rays. There was fluid in his lungs and our poor guy had developed pneumonia. We rushed up to see our little guy right away. The doctor said he may need to be reventilated at some point and we assured them to do what they needed to, to make him better. We went out to lunch hours later and received another call. They were informing us that it was in Kylos best interest to be reventilated, we agreed and they did this while we were absent. The next two days were great. Kylo was getting better. By day 8, he was back on c-pap and all his stats were looking great. My partner and I headed home on day 9 to grab a few things and see our daughter, another call came through as we were halfway home. Kylo was doing so well they were moving him from PICU back to NICU.

Kylo spent another day on c-pap before going on hi-flow (which the nurses said he didn’t even need!). He was transferred to nursery 2 days later.

There he lay in nursery with only his monitors on. A baby with hardly anything, I was just so use to seeing him with all his tubes, wires, cords. Our last goal was to get the feeding tube (NG) out and get him fully off morphine. We developed a breast and bottle feeding combo to get his weight up and he was fully off morphine by the 23rd December. We had hopes of bringing him home on the 24th but the doctor wanted to keep him one more day to ensure he wasn’t having morphine withdrawals. After being in hospital for almost 3 weeks, we just wanted our baby home..

There is a lot more to the story but on Christmas morning, we got to bring our little Kylo home. The best Christmas gift we could ask for. He got to meet his big sister too which is a memory I’ll forever cherish.

Kylo has since been for his regular checkups, he’s been given an all-clear for 6 months (after two echo scans). His cardiologist is amazed with his repair and confident Kylos heart is continuing to grow and work well with him.

He’s just turned 3 months old and is just the most amazing little bub in my life. You would never know from just looking at him, what he’s been through.

Through the hard times in hospital, I’d always tell him it was only temporary. And when I got to bring him home, I said to him “I told you this was only temporary.”

I feel for those who have to go through what we did but our babies are so resilient. If you are reading this and going through similar, I wish you the best of luck! Just hang in there and be strong.

Heart abnormalities (20 week scan)
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MisssC3025 · 09/03/2020 14:18

Beautiful to read 💙🙏 what a strong and brave gorgeous little boy. As are you too. 💪💖

Catlover10 · 09/03/2020 14:43

So glad he is okay 😍

Onedaymyluckwillchange · 10/03/2020 15:13

I am so pleased you posted an update and everything is going so well. You've certainly been through a hugely stressful time and I can absolutely relate. If you remember, my little one was diagnosed with transposition of the great arteries at the 20 week scan and THE most anxious nerve wracking pregnancy from there on. He was born in January and needed immediate transfer for a balloon septostomy and then the most horrendous 11 day wait for his open heart surgery to correct the TGA. He is now home with us after 3 weeks in the hospital (the longest 3 weeks of my life).

CarlyA1981 · 12/03/2020 19:40

Really in need of some advice, before I send myself even more crazy.. I’ve just had my 20 week scan and they have found 9-11 mm of fluid on my female twins brain and no visible CSP as well as other abnormalities (what it said in notes) also she only has 3 chambers in her heart and AVSD. Twin 1 our boy is doing well and all normal. I’m in absolute bits don’t know what to think or what I’ve done wrong. We went through such a tough process of IVF to get these babies so looking for some hope as my heart is breaking for her 💔

Couldn’t get to Great Ormond Street today as it’s closed due to Corona Virus and the consultant at Evelina Children’s Hospital isn’t available today but may be tomorrow, worse case we will have to wait for Monday to find out what anything means

So hard to remain positive 😢😢

cocop0pz · 19/10/2020 13:56

I haven’t posted in here in awhile but just wanted to say thank you to everyone that’s followed this thread since Kylo’s 20w prenatal diagnosis.

My little heart warrior is doing fantastic! He only had the one open heart surgery at 6 days old and for now, that’s all he will need (fingers crossed!). At his last checkup (early September) he had an echo done and when his cardiologist came to see us, all he could say was “wel guys, I have nothing to tel you! Everything looks great. His repair is great. His heart is growing as it should”. We got an 8 month clearance! So now Kylo doesn’t have to go back until May 2020 :)

He has a liver issue that’s being looked into but seems very minor and they are not concerned. He’ll just need a follow up ultrasound to double check everything is ok. He’s a very happy and healthy boy! Although he’s still smaller than average, he is hitting all milestones for a baby his age and eating like a horse lol!

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navigatingmy20s · 09/09/2022 10:23

PLEASE READ

Hi everyone,

I have just had my 20 week anomaly scan and the sonographer has made a referral for me to attend an appointment at St George's Hospital to have a re-scan done by a cardiologist as the sonographer has reported that my baby's aorta is slightly enlarged.

Has anyone else had any experience with this? What should I be preparing myself for? 😢😢

Ribizli · 12/12/2022 14:40

Hi,
How was your appointment with the specialist?
We have found out the same problem today at the 20 week scan. I’m ever so worried. We’re going to have a fetal echo on Thursday..

navigatingmy20s · 12/12/2022 18:33

Hi @Ribizli I have replied on my other thread xx

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