Right bundle branch is blocked, 20 mm ostium Secundum atrial septal defect with left to right shunt & Mild pulmonary arterial hypertension, Is it possible to recover without any surgery?
Patient's Query
I have learned about your institution from my relative. My relative suggested to inform the problem of my wife to your end through mail. My wife Swati Laha aged about 32 yrs was admitted at local hospital at Kolkata for elective LSCS on 14.02.19. At the time of Pre-Anaesthetic check,the doctor advised for ECG,Echocardiography and other allied test.As per ECG report " Right bundle branch block" found and as per Echocardiography report "20 mm ostium secundum atrial septal defect with left to right shunt.Good left ventricular systolic function. Mild pulmonary arterial hypertension." detected. The elective LSCS was done under general anaesthesia on 14.02.19 and female baby delivered. The age of my baby is about two months. In this circumstance,I am in dilemma what to do right now.I am therefore requesting you to kindly guide/ give your valuable suggestion for taking corrective measure of my problem as per ECG/ Echocardiography report. Kindly enlighten me on following quaries. 1. Is it possible to recover without any surgery. If not, 2.What type of surgery need for 3.Is there need of any kind of test before surgery. 4.What would be the best time for her for surgery as my baby is only 2 months and she was operated on 14.02.19 5.How many days will it be taken to recover after surgery 6.kindly let me know the risk factor of different type of surgery for her problem.
Answered by Pankaj Kamble
Hello, Looking at your wife's condition we are of the opinion that she has a 20 mm ostium secundum atrial defect. The good news is, that having a 20mm ASD is not an emergency case. The treatment can be postponed for 3 to 6 months.
There are basically 2 types of procedures for ASD Closure:
- Surgical
- Device closure
In case of device closure, you can discharge the patient in 2 days and this treatment is done by using a small needle that passes through the groin. In this type of treatment, the patient can resume her daily activities immediately post-treatment. Surgical closure is done in patients who are unfit for device closure. Hope this answers your query. You can consult cardiologists for second opinions - Cardiologist in India.
Pankaj Kamble
Questions & Answers on "Heart" (208)
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