HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Suggest Treatment For Congenital Hole In The Heart

My wife has been diagnosed with congenital hole in the heart at this old age of 65 years. When 2D-Echo has been conducted in two different corporate hospitals with an interval of 1 year 8 months has recorded as 1.1 cm and 1.3 cm respectively. Angiogram revealed no coronary blocks. Whether she can pull on for some more years without opting for closing device? If it is not closed what would be future complications?

She is high B.P. (only marginal) for which she is taking medicine. Only problem is she can't walk at a brisk pace.

Thanks for the advice.
Mon, 25 Sep 2017
Report Abuse
Cardiologist, Interventional,  's  Response
Thanks for posting your query here.
There are different kind of holes in heart.
But at this age, the most common hole is ASD which is a hole between the upper chambers of the heart.
Now coming to the treatment, I would advise you to immediately see a cardiologist and get a detailed echo to see if it is still be closeable! But if there is any doubt, then she might need a right heart catheterization to see the closeablity.
Because by this age many of the ASD would have caused irreversible damage to the lung vessels and if the hole is closed without proper evaluation for this lung vessel damage then closure of the ASD can do more harm than good.
And if it has not caused that damage, then it must be closed either percutaneously with a device or by open heart surgery, otherwise it would permanently damage the lung vessels.
I hope this information would be of help to you.
All the best.
I find this answer helpful
Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Angiography


Loading Online Doctors....
Suggest Treatment For Congenital Hole In The Heart

Thanks for posting your query here. There are different kind of holes in heart. But at this age, the most common hole is ASD which is a hole between the upper chambers of the heart. Now coming to the treatment, I would advise you to immediately see a cardiologist and get a detailed echo to see if it is still be closeable! But if there is any doubt, then she might need a right heart catheterization to see the closeablity. Because by this age many of the ASD would have caused irreversible damage to the lung vessels and if the hole is closed without proper evaluation for this lung vessel damage then closure of the ASD can do more harm than good. And if it has not caused that damage, then it must be closed either percutaneously with a device or by open heart surgery, otherwise it would permanently damage the lung vessels. I hope this information would be of help to you. All the best.