Can a patient with septal heart defect travel to other country for surgery?

Hello doctor,

My fiance belongs to a southeast Asian country and we are attempting to get her here in a western country. She was diagnosed with a septal heart defect at the age of 24 years and has been on Viagra to lower her internal heart pressure. However, over the past six years, they say she cannot have surgery to fix it because her internal heart pressure is too high. Being a third-world country my thoughts may be that here we have better resources for this. Her normal BP is 80/40 mmHg, oxygen saturation of about 85 % regularly. For the past year and a half, she has basically been bed bound because any hard activity for even a slight amount of time puts her out of commission for days. She is miserable and her quality of life has dramatically decreased. However, the surgery is too risky and her country will not allow it. She is currently taking Viagra 100 mg and Beraprost sodium 20 mcg.

Kindly help.