BRIEF COMMENTS
EXPERT: Assoc. Prof. Bogusław Kapelak MD
Affiliation: Department of Cardiovascular Surgery and Transplantology, John Paul II Hospital, Krakow
COMMENT
Surgical ASD closure is required. Careful neurological evaluation and close cooperation with a neurologist periprecedural is required. The influence of extracorporeal circulation on the brain function is unknown in this patient.
EXPERT: Prof. Janusz Skalski MD, PhD
Affiliation: Department of Pediatric Cardiac Surgery, Jagiellonian University Medical College, Krakow
COMMENT
The risk that operation will have negative influence on brain function is minimal. ASD should be surgically closed.
EXPERT: Tomasz Mroczek MD, PhD
Affiliation: Department of Pediatric Cardiac Surgery, Jagiellonian University Medical College, Krakow
COMMENT
I suggest ASD closure without pulmonary valve replacement. Nevertheless there are few urgent questions that we must ask: (1) what is the anatomy of the left superior vena cava and coronary sinus?; (2) what is the anatomy of the ASD sinus venosus? In my opinion ASD with 14 mm of diameter would give bigger Qp:Qs shunt.
CONCLUSIONS
1) Detailed evaluation of heart anatomy in angio-CT is recommended prior surgical closure of the ASD
“Development of the European Network in Orphan Cardiovascular Diseases”
„Rozszerzenie Europejskiej Sieci Współpracy ds. Sierocych Chorób Kardiologicznych”
