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Pulmonary atresia and its treatment in children - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Valvular Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   hi
Doctor :   how can i help u
User :   hello doctor
User :   My baby is 9 days old
Doctor :   k
User :   he has been diagnosed as having pulmonary ayresia
User :   atresia
Doctor :   k
User :   his ballon valvuloplasty has failed
Doctor :   k
Doctor :   so what is the problem u as of now
User :   BT shunt operation has been done
Doctor :   k
User :   what should be done next
Doctor :   A more complete repair depends on the size of the pulmonary artery and right ventricle
Doctor :   If the pulmonary artery and right ventricle are very small, it may not be possible to correct the defect with surgery
Doctor :   In some cases, where the pulmonary artery and right ventricle are more normal in size, open-heart surgery may produce a good improvement in how the heart works
User :   ok
Doctor :   f the right ventricle stays too small to be a good pumping chamber, then the surgeon can connect the right atrium directly to the pulmonary artery. The atrial defect also can be closed to relieve the cyanosis
User :   which is the best place for these surgeries
Doctor :   where are u located
User :   mumbai
Doctor :   as of now our operation area is bangalore
Doctor :   we are coming shortly in mumbai
Doctor :   right now we can help u by finding out
Doctor :   the best centre and email u
User :   ya please do that
Doctor :   could u plz type the entire diagnosis mentioned int he case sheet
Doctor :   or u can scan and send
Doctor :   Please fill this form I send and give feedback and when done, Please say it.
User :   pulmonary atresia with intact ventricular
Doctor :   k
User :   right now he is in the NICU
User :   after the shunt his heart has gone into failure
Doctor :   k
Doctor :   we are not prepared for the emergencies
User :   he is on the ventillator , dobutamine, digoxin and lasix
Doctor :   right now
User :   ok
User :   pl tell me the name of the hosp and doctor at bangalore
Doctor :   we can only give some information regarding the condition
User :   how much time will it take for him to recover?
Doctor :   it depends on the clinical condition of the patient
Doctor :   we cannot comment on that
Doctor :   ur doctor who is treating is the best person since he knows the case better
Doctor :   and physical condition
Doctor :   of the patient
User :   tell me abt a cardiac centre and a surgeon who is an expert in this field in bangalore
User :   or anywhere alse in India
Doctor :   we have exclusive paediatric cardiac centres in bangalore
Doctor :   once we find out the best specialist for it we will mail the details
Doctor :   to u
User :   ok
Doctor :   plz confirm the details
Doctor :   k
User :   email add is correct
Doctor :   k
User :   and Fontan operations be done
Doctor :   plz refer ur friends by importing from ur email id
User :   ok
User :   and Fontan operations be done
Doctor :   bidirectional shunt is preferred in very small babies below 2 years of age in whom the lung vessel resistance is still quite high
User :   what abt surgical valvotomy of the pul valve
Doctor :   I can understand your problem. However, since I am a general practitioner I may not be able to help you much with this. You will have to speak to a qualified specialist (a counsellor ) who will be able to help you out with this problem.
User :   ok
Doctor :   Is there anything else I can help you with?
User :   thanks for the help
Doctor :   Bye
User :   Bye
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