Talk to Cardiac Surgeon on Artial Septal Disorder
Asking for Other, Female, 8 years old, Hasilpur Bahawalpur
Sir meri beti KO Dil me soorkah h Phle Doc ny Kaha tha K Open heart surgery krna parni kiun K Dil K valves Ka b issue ha or weight 15 kg ha age 8 years ha..jis ki waja sy Device Dal K soorkah band NI Kiya ja skta ab AFIC me doc ny Kaha h K device Dal K ho skta operation NGO K through ham etne expenses afford nai kr skty.. Kindly reports Dekh K BTA dain K Kya bachi Ka device Dal K Sara masla hal ho skta h valve Ka b or soorkah Ka b...
Dr. Fazeela Shahid - Cardiac Surgeon
MBBS, FCPS Cardiac Surgery* | Faisalabad
Your daughter has a moderate ASD with mild mitral valve leakage. Closure can be done either with a device or surgery. Device is possible if the hole has good margins and the valve leakage is only due to stretching — in that case, MR may improve after closure. But since the valve is described as thickened, there is a chance it may not improve and surgery could be the safer option. A detailed echo/TEE is needed before deciding. (to look for margins and better understanding of valve morphology)
(This is a general answer. Final decision should be made by treating team)
Dr. Chaudhary Humayun Iqbal - Cardiac Surgeon
MBBS, MRCS, A FRCS (Ire, UK), FCPS cardiac Surgery, FRCS Cardiothoracic Surgery, S -1(Int), FETCS (European Board of Cardio-thoracic surgery / pan European fellowship in Cardio-thoracic surgery) | Islamabad
1 Positive Reviews
I am truly sorry to learn about your daughter. Based on the information you have shared, including the echo reports, it seems a catheter-based procedure using a plug or mesh seems viable and could potentially close the ASD with least trauma hence should be the 1st choice of therapy. However, a comprehensive evaluation is necessary, preferably involving 3D echo, or if 3d echo is not available alternatively, a standard echo or MRI to assess the rim's integrity and dimensions where the device will be placed. I believe the advice from AFIC is sound, and proceeding with device closure appears to be a reasonable course of action. Following the procedure, she will likely require blood-thinning medication for a few months and regular echo follow-ups to monitor the device and the mitral valve. Hopefully, as it is anticipated that any existing Mitral valve leakage will improve or, at a minimum, stabilize as the right-sided heart pressure normalizes post-procedure. I trust this assessment is helpful. If you require further detailed discussion and are unable to afford consultation fees, please inquire with Marham regarding the possibility of a complimentary/free online consultation with me. I would be happy to assist. Thank you, and may Allah bless your daughter with good health.
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