HomeAnswersCardiologyatrial septal defectKindly go through my wife's health issues along with the attached echo report.

Kindly explain my wife's health problem with the help of echo report.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At February 4, 2017
Reviewed AtJune 5, 2023

Patient's Query

Hi doctor,

I am 23 years old, I am a married female and has one kid. My symptoms are shortness of breath (since a year), severe chest pain a month ago, numbness in the left arm since one month and fatigue with little exertion. There is no previous history of the same issue. Kindly explain the attached echo report.

Hi,

Welcome to icliniq.com.

There is an atrial septal defect (attachment removed to protect patient identity), which needs closure as it is causing symptoms of breathlessness and fatigue. According to the echocardiogram, there is also right heart enlargement. As advised in the echo report, she should undergo a TEE (transesophageal echocardiogram) to decide whether this defect can be closed by a cardiologist or a cardiothoracic surgeon.

The Probable causes

The probable cause is congenital.

Investigations to be done

Do TEE (transesophageal echocardiogram).

Probable diagnosis

The probable diagnosis is ASD (atrial septal defect) with left to right shunt, hemodynamically significant.

Treatment plan

Do TEE followed by either percutaneous or surgical closure.

Regarding follow up

Revert with the report to a cardiologist online.

Patient's Query

Thank you doctor,

Thank you for the answer. I need to know what is the approximate cost of both procedures, percutaneous and surgical closure?

Hi,

Welcome back to icliniq.com.

It varies according to the location you live. At the center, where I work percutaneous ASD closure is high and surgical closure is high above the previous procedure. In a private set up both these options would be around the same amount.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vivek S Narayan Pillai
Dr. Vivek S Narayan Pillai

Cardiology

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