See atrial septal defect closes in the skill and is suitable for you? 's treatment

See atrial septal defect closes in the skill and is suitable for you? 's treatment
Atrial septal defect is one of the most common congenital heart diseases, embryo's development of the atrial septal defect foundation can be divided into and continued and sent the pass and big class of pass defect two of hair originally, the former occupies the majority, the deformity is comparatively complicated in the latter's heart. Clinic mean atrial septal defect take place pass atrial septal defect for continue more.
Atrial septal defect is generally relatively light at infancy symptom, therefore is difficult to find in early days. Atrial septal defect of uniform size, mostly singly, can a plurality of or mesh opening partly. Symptom of atrial septal defect has a difference with flawed or damaged size, the defect which is smaller than 5mm is small-scale atrial septal defect, small-scale atrial septal defect and to part flow on the right side, can have no symptom for a long time while being getting little left, the growth state is the same as ordinary person, a lot of small-scale atrial septal defect patients just present symptom after growing up.
Does atrial septal defect close in the skill and is suitable for the adult atrial septal defect patient?
Meet such an adult congenital heart disease patient in the clinic recently, the woman is 25 years old, the color sonography is checked, the right room increases slightly, the room of other rooms is normal in size, atrial septal defect 5MM, artery high pressure of slight lung.
The patient describes: Not feeling discomfort in the past, after getting married, gave birth to the child, postoperative dilatation and curettage that the accident was pregnant to walk, begin to think the heart hard, checks in electrocardiogram, more than 50 times of heart rate, it is about 75 times to and then take some root of red-rooted salvia slices again and reply to after ATP, feel very tired that there may be 3-4 times in one year, close in the skill, I'm afraid the closing in device fell, cause thromboembolism, it was quicker that I died, which kind of closing in devices is a commonly used one now? Do, afraid must some disease aggravate the intersection of heart and burden, Can I take some let son go to be appropriate to take, nurse one's health again! Suitable for the operation? Thank the doctor.
The expert of department of cardiac surgery points out, atrial septal defect or oval hole that the diameter is less than or equal to 5mm has not been closed, there are no obvious atrial septal defect and symptom, also there is not a person who increases load of capacity of right heart, seldom need to get involved and treating; If find in following up a case by regular visits to atrial septal defect increases gradually and there are persons who increases load of capacity of right heart, appear, because come from the intersection of lower extremities and the intersection of brain and apoplexy or getting transient the intersection of brain and ischemic medical history of breaking out that intravenous thrombus cause or amalgamate insula tumour, can consider closing in atrial septal defect. Occur frequently the intersection of hole and atrial septal defect, if double - hole atrial septal defect can try, close in big the intersection of hole and atrial septal defect with large the intersection of diameter and person who close in first, can close in neighbouring aperture atrial septal defect at the same time sometimes; If neighbouring aperture atrial septal defect is apart from big hole atrial septal defect relatively far, can adopt one pair of closing in devices to close in together; If is a mesh opening atrial septal defect, can choose Amplatzer mesh opening closing in device to close in. It is closed in that the situation of this patient is relatively suitable for getting involved.
Atrial septal defect close in skill have better esthetic, little avoiding extracorporal circulatory system and hospital stays advantage such as being short wound, but still probably serious complication appears in the course of treating atrial septal defect, if thrombus thromboembolism, blood vessel are damaged, even the heart punches, and a main one is that the getting involved conduit skill uses great limitation, the atrial septal defect patient that age is small or large-scale is unable to use.
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