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Chances of a Heart Defect

 

 

My first child was born with a right-sided aortic arch with an indentation in her esophagus. I had my second child 6 years later and he was born with Transposition of the great arteries with his valve connecting both sides of his heart closed which had to be opened before he had surgery.  I want to know the chances of this being connected and of a third child also being born with a heart defect.
 
Thank You,
DT
 

 

Dear DT,

I'm sorry you have had to go through so much with your little ones already

About 1 in every 100 children born have some type of a heart defect. The causes of heart defects are probably a result of the combination of the environment and the child's predisposition to heart defects.

Changes or mutations in genes or chromosomes (our genetic make up) are possible causes. Other causes which are termed "environmental" can include viruses, and mothers who drink alcohol heavily (as examples).

The risk is higher if heart defects "run in the family", e.g. mom or dad have a history of one.

While I include all of these possibilities, most of the defects are unexplained. This is important because sometimes parents feel as if they have done something wrong to have a child born with a heart defect, but, in fact, they have not done anything wrong.

I would really recommend you see a genetics counselor. The most important thing for you to do is to discuss your question with a genetics counselor who can be more scientific and specific. A genetics counselor is someone who is trained in predicting illnesses in future children.

The counselor will need to run some tests on you and the father of your children. If you call the cardiac program (where your children were) they should be able to direct you to one (if they can't help you, let me know and I will help you find one near you).

It's difficult to answer your question, because chances could run anywhere from 8 to 50%, all of which are dependent on your previous 2 children's types of defects, your family history, and you and your spouse's particular genetic make up.

That really doesn't narrow it down for you. I know that you are very concerned, and do not want another baby to have to go through what you and your other children did. Set up an appointment, and get your answers.

Thank you for your question. Dr. Mike

 

 

This article was reviewed 04/23/2010 07:24 AM

 

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