Patient: Bruised lips and purple nails when crying. Now the baby is 80 days old, can you please help me with the results of the ultrasound of the heart of the 30 days old baby, is the heart disease serious? Can it be cured in your hospital? Does it have any effect on the future life of the baby? How much does it cost and when is the best time to operate? Thank you very much for replying to us in your busy schedule. Thank you! Laboratory and examination results: The results of the baby’s 30-day examination are as follows: 1. Left heart position, left position of the aortic arch, and no obvious signs of constriction; 2. The right ventricular diameter is enlarged, and the left ventricular diameter is smaller. The anterior free wall of the right ventricle was symmetrically thickened with the interventricular septum; 3, the inner diameter of the aorta was widened and rode over the interventricular septum, and the degree of rode over was 50%; 4, the inner diameter of the right ventricular outflow tract was 6mm, and the inner diameter of the pulmonary valve annulus was 6mm, and the opening of the pulmonary valve was limited, and the flow rate of the pulmonary valve at the mouth of the pulmonary artery was measured by CW as 4.24m/s, and the differential pressure was 72mm Hg; 5, the CFM detected the arterial catheterization with a continuous horizontal left-right shunt of 2.3mm width; 6, the arterial catheterization was detected by CFM as a continuous left-to-right shunt. The width of 2.3mm; 6, the ventricular septum in the perimembranous inflow tract extends to the aortic valve and the subaortic echogenicity loss of up to 10mm, CFM shows bidirectional shunt; 7, CFM probes the small stranded left to right shunt of the patent foramen ovale, the width of 2mm; 8, the two, tricuspid valve morphology can be active, Doppler in the tricuspid valve mouth probed a mild regurgitation; 9, coronary artery origin and alignment did not see obvious abnormalities. Doctor: Your baby was diagnosed with tetralogy of Fallot at 30 days of age by cardiac ultrasound. In our center, the usual age for surgery for this type of disease is 6 months to 1 year of age, and there have been cases that required surgery at 3 months of age. If your child is more severely affected, it is possible that he or she may need to be treated earlier. So we need to know about your child’s current condition, for example: is there any purple coloring of the face and fingers when he is quiet? Is there any change in breathing after intense crying? How is the heart development (need to do a cardiac ultrasound)? Therefore, it is better for you to bring your child to our hospital for another examination, and then the doctor will be able to give you accurate advice based on the results of the physical examination and auxiliary examination at that time. In general, these diseases can be cured, and most of them can study and live like normal children. The cost of the operation is about 40,000-50,000 RMB depending on the degree of the lesion, and 10,000 RMB in some cases if cardiac catheterization is needed. Patient: Thank you very much for replying to my question in your busy schedule, the child is quiet without purple phenomenon, a little bit of crying face will be purple, shortness of breath after violent crying and noise, we will go to the hospital to do further examination when the child is three months old, I would like to ask, my child’s disease is not belong to the more serious in the Act IV? The outcome of the surgery also depends on the development of the pulmonary artery. Is his pulmonary artery poorly developed? Is his pulmonary artery not well developed? Will he be able to live like a normal child after the surgery? According to the results of the one-month ultrasound of the child’s heart, is it necessary to do a cardiac catheterization? Dr. Yip, I did all the prenatal checkups when I was pregnant, and I would like to ask, should I have been able to check for the Act IV? Thank you again for having a doctor like you by our side and giving us hope for our child! DOCTOR: The extent of your child’s lesions and the need for a cardiac catheterization is difficult to give you a definitive answer at this time as we need the results of your child’s recent tests. Generally speaking, after the surgery, your child can grow and live as a normal child, but regular check-ups are needed to help the doctor understand how your child is recovering. All tests are only a diagnostic method and cannot be guaranteed to be 100% correct and accurate.