The ventricular septal defect, a large hole in the interventricular septum, allows the mixing of oxygenated and deoxygenated blood in the heart, causing poor circulation of either type of blood. The overriding aorta occurs as the aorta has become larger than it should be and receives blood from both the left and right ventricle, instead of only receiving blood from the left. The pulmonary …show more content…
When a child with cyanosis is brought in for testing, doctors will first test for lung disorders by giving the child extra oxygen. If the child does not respond to the hyperoxia testing, doctors usually perform an echocardiograph to check for congenital heart defects after listening to heart sounds and hearing a heart murmur. If needed, doctors may do a cardiac catheterization to check artery patterns in the heart. As soon as doctors determine that the child has tetralogy of Fallot, they check oxygen levels. If oxygen levels are not sufficient, an infusion of prostaglandin is given to keep the ductus arteriosis open, allowing more blood flow to the lungs. After 6 months, the child goes into surgery to repair the hole in the interventricular septum and remove the obstruction in front of the pulmonary trunk. Complications may arise if the coronary vessels make fixing the pulmonary stenosis impossible to do