BRIEF COMMENTS
EXPERT: Prof. Roland Hetzer, MD PhD, cardiac surgeon
Affiliation: Deutsches Herzzentrum, Berlin, Germany
COMMENT
Unusual case – usually such patients are operated short after birth. There are a few aspects to consider: 6 minutes walking test result was reduced, but not very low. Future problem will be tricuspid regurgitation. Another aspect is whether complete or partial correction should be performed. If patient wants operation, it should be considered. Risk of the surgical correction is about 5-10%. There is no indication for anticoagulants if the only problem is congenital heart disease.
EXPERT: Dr Jacek Kolcz, MD PhD, pediatric cardiac surgeon
Affiliation: Department of Pediatric Cardiac Surgery, University Children’s Hospital of Krakow, Poland
COMMENT
There is no fixed pulmonary hypertension, no pulmonary or tricuspid regurgitation. The patient should be considered a candidate for surgery.
EXPERT: Dr Lidia Tomkiewicz-Pająk, MD PhD, cardiologist
Affiliation: Department of Cardiac and Vascular Diseases, John Paul II Hospital, Krakow, Poland
COMMENT
Right ventricle function should be carefully evaluated. If it is poor, the result of the surgery will be unfavorable .
EXPERT: Dr Zbigniew Kordon MD, PhD, pediatric cardiologist
Affiliation: Department of Pediatric Cardiology, University
Children’s Hospital of Krakow, Poland
COMMENT
RV is overloaded, Qp/Qs is approximately 4:1. From the surgical point of view, performing a procedure is not very complicated. But question is what happed when we diminish the RV overload. In my opinion, we should correct but not completely close ASD.
CONCLUSION
Decision regarding the surgical approach should be discussed with the patient thoroughly. It is her decision. Modification of the antiarrhythmic treatment (propafenon 3x/day) should be considered.
Anticoagulants are not indicated for this patient.
“Development of the European Network in Orphan Cardiovascular Diseases”
„Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
