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Information regarding AP shunt - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   i wish to know about ap shunt
Doctor :   Hi
Doctor :   Dr. XXXXXXXX here.
User :   hello sir
User :   i was having talks with the father of a girl regarding marriage
Doctor :   ok
User :   he told me her daughter had a scar on chest about 5 cms long
User :   she had an ap shunt at 6 yrs of age
User :   she is 26 now
Doctor :   ok
Doctor :   for what purpose the shuntwas put?
Doctor :   was it a 'shunt' or a 'stent'?
User :   the fact is sir i just was not able to go further
User :   either i was hesistant about offending them
User :   it was shunt
User :   i m sure
User :   the words i cud catch were ap shunt
User :   also though i m myself a doctor
Doctor :   ok, then if it was a shunt, then it was supposedly to correct some arterio venous malformation
User :   i m a gynec
User :   i didnt have enough knowledge regarding shunt
Doctor :   if it was a stent then it was put to open up some blood vessel
User :   sir what would the arteriovenous malformation be
User :   which arteriovenous malformation....
User :   pardon me sir, r u a cardiothoracic surgeon
Doctor :   in chest it could be either in the heart vessel or in the lung
Doctor :   most commonly it is in the lung vessels.
Doctor :   no I am a General Practitioner, I can help you within my expertise and If required I shall recommend a specialist.
Doctor :   if you would like to speak to a cardiovascular surgeon , visit this link
User :   sir i would humbly request you to direct me to a cardiothoracic surgeon or a cardiologist
Doctor :   WWW.WWWW.WW
Doctor :   you can choose with whom you would like to consult with and proceed with your query
Doctor :   specialist opinion is available through e-mail or phone call
User :   the cardiologists are not online right now
Doctor :   no, they give their services through e-mail or phone call
Doctor :   they are not available for live chat.
User :   ok sir
User :   anyway what i was able to find out was ap stood for aortopulmonary shunt
User :   sir would anybody call pda an ap shunt
Doctor :   aortopulmonary shunts are used for treating cyanotic heart diseases
User :   the father said his daughter had ap shunt at 6 yrs of age
User :   what type of shunt wud he have meant
Doctor :   the cyananotic heart diseases can be many that are treated using this shunt, they can be: Tetralogy of Fallot (ToF), Total anomalous pulmonary venous connection, Hypoplastic left heart syndrome (HLHS), Transposition of the great arteries (d-TGA), Truncus arteriosus (Persistent), Tricuspid atresia, Interrupted aortic arch, Coarctation of aorta, Pulmonary atresia (PA), Pulmonary stenosis
User :   how much is the life of an aortopulmonary shunt
Doctor :   the few non cyanotic heart problems like PDA (patent ductus arteriosus) and coacrtation of aorta can also be treated using this shunt
Doctor :   if the problem is not severe, the shunt can be used lifetime with follow ups done with ECHO every year or after every 3 years
Doctor :   to see the functioning of it
Doctor :   if any abnormality is detected, then it might need to be replaced.
User :   i thought in pda simple ligation was done, how wud a shunt be used in pda
Doctor :   sometimes yes, it can be used
Doctor :   Aortopulmonary shunt is usually done to make the blood flow to the lungs increase
User :   are u referring to the BT shunt
Doctor :   so in any cases where the blood flow to lungs are compromised, them this can be used to correct it
User :   i have heard shunts usually get stenosed or thrombosed
Doctor :   BT shunts are also types of Aortopulmonary shunt.
Doctor :   they are used differently in different situations
Doctor :   for example: classic BT shunt is used to mobilize subclavian and PA distortion if subclavian too short
Doctor :   and a modified BT shunt is used to correct stenosis or thrombosis
Doctor :   so the type of shunt use will depend on individual patient and his/her condition and symptoms
User :   is this the same shunt u said before that was used in arteriovenous malformation
Doctor :   and the shunts used will not get stenosed or thrombosed if the patient is on coagulation and good condition.
Doctor :   shunts used in ateriovenous maformations are different than those to correct cyanotic heart diaseases
User :   where is the scar mark for shunts used in arteriovenous malformations
User :   can the shunts used for cyanotic heart diseases last for 20 to 25 years
Doctor :   yes they can last long enough if there are no complications associated.
User :   i heard shunts need to be followed by corrective surgery
Doctor :   the scar mark is on the chest on either of the side of the sternum.
Doctor :   the corrective surgery can be done at the time of placing the shunt also, which does not require a repeat surgery. inquire about repeat surgery in the girl's case.
Doctor :   when was her last cardiology follow-up?
Doctor :   when was her last ECHO done?
User :   the father just said she had AP shunt at 6 yrs of age, she is fine for last 20 yrs
User :   for some reason sir, i cant go intop details with the father
Doctor :   ok
User :   he might think i am trying to sort of commoditise his daughter
User :   so i need all information i can regarding just what he has told me
Doctor :   you can enquire in depth since you youself are a doctor
Doctor :   such that you get a better understanding of his daughter's condition
Doctor :   and take further necessary steps in treatment
User :   just let me say the situation is tricky, he has given me a hint that other boys are also in line
Doctor :   so do not hesitate taking all details
Doctor :   ok. in that case it should be your call whether to go ahead with it or not.
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