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Treatment for ASD - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3622 Questions
Doctor :   hi
Doctor :   how can i help you?
User :   hi
Doctor :   hi
User :   my mother have ASD defect
User :   age 57
User :   what will be right treatment for her
Doctor :   ok
Doctor :   since when has she been symptomatic/
User :   actually we found this before 2 month during Medical Check up
Doctor :   ok
Doctor :   does she have any other health problems?
User :   we did ECG and TEE
User :   no she not major
Doctor :   ok
User :   no she doesnt have any major health problem
Doctor :   mostly she may never require ant treatment
Doctor :   as she had no symptoms till now
User :   what kind of symptoms ???
Doctor :   like any heart problem
Doctor :   any breathlessness
Doctor :   fatigue
Doctor :   YYYY@YYYY
please confirm your id
User :   after detecting i concentrated she might have breathless problem as when she work more she have breathlessness but not complening
Doctor :   ok
User :   YYYY@YYYY is my id
Doctor :   ok
Doctor :   and your contact no.?
User :   i dont have
Doctor :   ok
Doctor :   your mother probably doesnt need surgery
Doctor :   as she has no active symptoms
Doctor :   ASD is usually corected only when there are symptoms
Doctor :   the procedure for correction is also simple
User :   should i wait until active symptoms
Doctor :   it can be done via catheterisation
Doctor :   there is no need to go for surgery
Doctor :   unless there is an indication
Doctor :   you can take the opinion of a cardiologist
User :   if ASD is 20mm and anurysum is up to 30mm
Doctor :   she has an aneurysm?
Doctor :   For Administrative and health purposes, Please provide these details -Age: Gender: Occupation: Location: Marital Status: Dependents: Yes/ No.
User :   while we did TEE, report says Anuryssum 30mm
Doctor :   ok
Doctor :   please fill these details here
User :   Occupation: Location, xxxxxx : Marital Status:married Dependents: Yes/ No: yes age 57
Doctor :   ok
Doctor :   i suggest that she get herself examined by a cardiologist
Doctor :   pure ASD can be managed
Doctor :   but the aneurysm needs to be checked out\
Doctor :   she may need cardiac catheterisation
Doctor :   Have you filled the feedback form which I have sent?
User :   yes
Doctor :   ok
Doctor :   i suggest you consult a cardiologist or cardiothoracic surgeon
Doctor :   as she may need further evaluation and surgery'
User :   i consulted cardiologist but have diffrant openion
Doctor :   ok
Doctor :   the defect size is also moderate
User :   what you suggest surgery or catherisation
Doctor :   depends on the plan of the ct surgeon
Doctor :   if the reapir is small he may go for catheterisation
User :   if we wait whether it will affect her health
Doctor :   its better to get her checked as soon as posible\
Doctor :   the surgery can be planned accordingly
Doctor :   initial check up will be good
User :   ok
Doctor :   are you residents of bangalore?
User :   if reports says 20mm ASD defect with annuryssum find 30 mm what you suggest will be the best treatment
User :   no
Doctor :   that has to be decided by the ct surgeon
Doctor :   it would be inappropriate for me to advice
User :   ok
User :   does surgery afect life of person???
Doctor :   no
Doctor :   these days the surgeries are performed with minimal complications
Doctor :   and catheterisation is not an actual surgery
User :   ok
User :   i got diffrant openion one cadiologist says go for catherisation other told as there is anuryssum up to 30 mm go for Surgery open heart so that i get confused
Doctor :   ok
Doctor :   take the opinion of a cardiothoracic surgeon
User :   ok
User :   according to you on what point this disision has been taken
User :   i am taking your time
Doctor :   thats ok
Doctor :   we are here to help you
User :   thanks
Doctor :   the decision has to be made
Doctor :   based on the size of the defect and the aneurysm
Doctor :   the overall heart function
Doctor :   and also the cost factors
User :   for this type of defect as report says 20mm ASD defect and 30mm anyrysum does catherisation cover it
Doctor :   its possible
Doctor :   but its upto the ct surgeon to decide
User :   ok
User :   does ASD open heart surgery is complicated or normal
Doctor :   both procedures have their pros and cons
User :   if i did catherisation or Open heart surgery does it incraese life ?
User :   age
User :   thanks
User :   ok i will consult ct surgeon
Doctor :   yes
Doctor :   she can avoid any complication
User :   like
Doctor :   that might happen in the future
Doctor :   anything else?
User :   if we wait for one year surgery will it affect
Doctor :   i suggest that you first get a consultation done
Doctor :   based on the doctors opinion you can decide
User :   ok thaks for your valuable time and suggestion
Doctor :   u r welcome
User :   good night
Doctor :   bye for now
Doctor :   Thanks for consulting Health care magic. Bye for now. Please refer your friends to our service
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