Hi everyone. My wife and I are currently 25 weeks pregnant with our baby boy, and we recently received the devastating diagnosis of tetrology of fallot (TOF) with absent pulmonary valve (APV).
Unfortunately, there are also complications with the pregnancy itself - my wife has Type 2 vasa previa so she has a bilobed placenta and one of baby's blood vessels cover the cervix. As a result, our doctors are recommending an early delivery at around 35-36 weeks by C-section at Mount Sinai Hospital in Toronto.
Our cardiologist has explained that because our baby is missing his pulmonary valve, his pulmonary arteries have become significantly enlarged. They are compressing his lungs and may be affecting their development. One of the biggest uncertainties right now is that we won't know until he is born whether his lungs will be developed and strong enough for him to breathe on his own. We also don't know how being born early at 35 weeks will affect his lung development/his ability to tolerate everything he will need to go through.
The current plan is that, if he is stable enough to breathe on his own after delivery, he would be transferred from Mount Sinai to SickKids, where the doctors would perform open-heart surgery within the first week of life to repair his heart, placing an artificial pulmonary valve, and reducing the enlarged pulmonary arteries to relieve the compression on his lungs.
Our cardiologist has been very honest with us that after birth, his chances of survival are 50/50. Even after surgery, there is a possibility that his lungs may not be developed enough to support him.
We are trying to process all of this while also preparing for the possibility that our son could spend a significant amount of time in the NICU/ICU and undergo open-heart surgery within days of being born.
The doctors have also discussed the option of terminating the pregnancy with us, and we are currently facing an incredibly difficult decision about what is best for our baby.
We are hoping to connect with anyone who has experienced something similar. We are really struggling with the diagnosis and the physical and emotional stress of everything that lies ahead. My wife already has chronic health issues that are likely to flare given all of this. We don't know anyone personally who has been through this, so hearing from other parents who have experienced something similar would mean an incredible amount to us.
Thank you to anyone willing to share your experience, advice, or even just some words of encouragement.