Final problem list and investigations
| Problems | Investigations and specialist reviews at the tertiary unit |
|---|---|
| Final cardiac diagnosis | Specialist echocardiogram |
| CT thorax to determine anatomy with three-dimensional reconstruction | |
| Vascular ring, double aortic arch with patent right arch, and atretic proximal left arch. Left PDA, left common carotid artery, left subclavian artery, and left arterial duct supplied by a large patent left dorsal aorta, left superior vena cava to coronary sinus | |
| ENT issues | Vocal cord ultrasound—postoperative left vocal cord palsy |
| Microlaryngoscopy and bronchoscopy (MLB)—bronchomalacia and mild laryngomalacia | |
| Hypocalcaemia | Endocrine review |
| Stridor | Respiratory review |
| Nasogastric feeding | Speech and language therapy (SALT) review—aspiration risk. |
| Poor feed tolerance | Gastroenterology review for milk intolerance |
| Plan for impedance study | |
| 22q11 deletion | Seen by genetics and DiGeorge team |
ENT, ear nose and throat; PDA, patent ductus arteriosus.