Heart Surgery Risks
Mayo Clinic Researchers
"Just because you have a hole, you don't automatically need to have it closed. You don't need to panic."
Dr. Meissner agrees. "More people are now getting PFOs repaired unnecessarily," she says. "Some don't need to be fixed. For patients who know they have a PFO and have not had neurologic symptoms, I'd advise them to sit tight. They don't need heart surgery to close the PFO.".... source http://www.sciencedaily.com/releases/2005/12/051209113618.htm
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Treatment of an ASD depends on the size, location, degree of symptoms present and the effect the defect has on the heart muscle.
Observation and monitoring
Patients who have a small ASD without symptoms or heart rhythm disturbances, may only require periodic monitoring by a cardiologist specializing in adult congenital heart disease. A typical evaluation would include a thorough physical exam, electrocardiogram, chest X-ray, echocardiogram, and an exercise test. A Holter monitor or event recorder may also be used to check for irregular heart rhythms.
Medical management
In some circumstances, closure either by surgery or catheter-delivered occluder is not recommended. In these situations, medical management is important to decrease the risk of complications of the atrial septal defect or to reduce symptoms.
When an ASD is associated with high pulmonary pressures, closing the defect may not be appropriate. Early detection and regular evaluation are very important to avoiding high pulmonary pressures....http://www.mayoclinic.org/atrial-septal-defect/treatment.html
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There are even instances when fixing a hole in the heart in adulthood can harm the organ, which will be thrown by the changed hemodynamics, or blood circulation, says Professor Richard Harvey, head of developmental biology at the Victor Chang Institute at Sydney's St Vincent's Hospital....http://www.smh.com.au/news/Health/Theres-a-hole-in-my-heart/2005/04/28/1114635664338.html?from=moreStories
Early Intervention Key To Repairing Hole In Heart Disease |