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Is it possible to cure a hole in the heart with surgery?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have been diagnosed with cardiomegaly. Further tests revealed that there are two holes in the heart.

Report says

  1. Ostium secundum atrial septal defect 11.8mm left to right shunt.
  2. Devoid of the aortic rim, with an adequate superior rim.
  3. Not suitable for device closure.
  4. Advised surgical closure.

When asked, the doctor said only the bigger hole would be operated on. An echocardiogram clearly shows two holes close to each other, one being half of the bigger one.

  1. What is it, and what should I do next?
  2. Can I wait for some time before I go through OHS?
  3. Is it possible to wait for a year?
  4. And is the doctor right about operating only the bigger hole?
  5. Or do you think both should be operated on, and I could see another doctor?

Please help.

Thank you.
Answered by Dr. Isaac Gana

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Hi,

Welcome to icliniq.com.

Sorry to hear of your health issues.

The decision to wait for a year will depend on your clinical symptoms alongside other factors. Only your attending physician can decide this. Usually, big ASDs (atrial septal defect) up to 11.8 mm are surgically closed, while smaller ones are not. I will advise you to sit with your cardiologist and discuss some of these questions with them.

Thank you.

Answered by Dr. Isaac Gana
Medically reviewed by iCliniq medical review team
Published At November 15, 2023
Reviewed At November 11, 2024

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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

Dr. Isaac Gana
Dr. Isaac Gana

Cardiology

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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