Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I carefully passed through your question and would explain that ASD may be treated either by surgical intervention utilizing a closing patch (pericardial tissue or other) over the septal defect of such dimensions, or percutaneous catheter intervention utilizing special closing devices.

But this later options will depend primarily by structural characteristics of the surrounding tissue (offering sufficient support for a good device apposition).

Also the greater the septal defect dimensions, percutaneous catheter procedure is less likely to offer a steady result and a minimal surgical intervention seems to be a more rationale alternative.

Mini-invasive surgery approach seems to offer a greater technical accessibility and less likely probability of complications.

I would like to review you uploaded cardiac ultrasound report for another professional opinion.

Hope you will find this answer helpful!

Feel free to ask any other questions whenever you need!

Kind regards,

Dr. Iliri

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Brief Answer:
My opinion:

Detailed Answer:
Hello again,

I carefully reviewed the uploaded ECHO views and would confirm that I agree with the attending doctors opinion.

ASD is quite large and closure devices approach would not be technically effective and safe procedure considering defect dimension and the patient's age.

Surgery instead, by using a pericardial or synthetic patch, when used correctly could definitely close the entire septal defect respecting the normal cardiac structure and physiology.

So, my opinion would be in favor of a mini-invasive open heart surgery, as it offers greater success and is in fact in this case the only rationale treatment alternative.

I wish everything goes OK with a great success!

Please, let me know how thing will go on.

I remain at your disposal for any further discussion.

Regards,

Dr. Iliri

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