Venticular Septal Defect

[yukunjin]

I am 48 and have a hole in my heart. Ultrasonic cardiogram indicates that it is venticular septal defect(pulmonary volve 3mm). I am living an active life as other people are,but occasionally have slight twinge. Do you think I should receive any treatment? Thanks.

[Emily_MHManager]

Hi everyone -

Let's just stick to answering yukunjin's questions about his heart, and leave the rest.

Thanks!

Emily

[kenkeith]

I have been helping the OP and vienna intervene with nonsense and may embarrass the OP and the responses are no longer related to the topic.  I will continue to respond to the current question but it requries some research and complex.  Thank you

[yukunjin]

Thank you all. It was really my fault to have made such a misunderstanding among friends. Let's stop her. If you have more suggestions to me, I would be grateful.

[erijon]

Please don't feel badly, you have done nothing wrong. We all come here to help and to offer people what we have learned through our experiences. You ask a very important question and I hope that you received some useful information.

The best of luck to you in the future and please don't feel the least bit concerned about coming back and asking more, we are here to help.

Jon

[yukunjin]

I am very sorry for making such misunderstanding among us. I received a mail from the net manager asking me to "select a best answer". Because of my poor English,I just posted a comment to Ken. It is not my real intention to say “thank you" just to one of you. Since I posted my question, I have received very quick and good responses from you. I must say "thank you all". You are kind people and I appreciate your answers so much. Please forgive me.

Now I am still in a difficult situation. My hole is actually 13mm. If I take surgery, what it will be after that? Can I recover well? If not, who can take care of my 3 children and my 90 years old mother? If I don't take surgery, what can I do to prevent syndrome?

Again, I apologize for what I ahve done. I thank you all, although it is a bit late.

Yukunjin

[kenkeith]

We all volunteer our time, and the "best answer" category asked by a poster to respond to may not do justice to other volunteers' time, but a poster should not be critized by a member when responding to that what is asked by MedHelp for purposes of their management of information. Granted for some it may not promote a harmonious relation among other volunteers if taken personally, but lets not critize a poster who has made a good faith response to that what has been asked of him or her.    

Management has their reason and I understand the underlying reason for best answer designation is to bring the best answer to the top of the thread going forward so when one puruses the archives it is not necessary to read the entire thread...it would noe be a matter of convenience.  

You have been around and volunteering your time for years, and we know you make a worthy contribution and in a general sense that is rewarding, and it is correct some OP's don't respond with any appreciation, but I don't take it personally because the OP may have  a serious medical condition and that is what on his or her's mind, and no response is just an oversight when medical issues for posters are forefront.  

[yukunjin]

Kenkeith's answer is the best. Thank you, Ken.

[jrbon]

In addition to what it is already said, this condition it generates thrombus. In fact it is a problem that normally goes without any symptom until it produces a brain ictus. I know it because my sister discover it after a thrombus impaired her vision.

At a minimum, I think you should be on anti aggregation or anti coagulation medication.

Normal procedure is to be checked up by cardiologist and neurologist, to see if there is any brain damage, which may decide the type of treatment.

Jesus

[kenkeith]

Whether you need treatment may be related to if you have any symptoms.  The hole between the right and left ventrical may not cause a medical problem as the oxygenated blood from the left ventricle is shunted to the right side and mixes with the deoxygenated....the mixed blood is goes to the lungs.  

However, if the there is double shunting (blood shunted to the right from the left (no problem as noted in the upper explanation),  but if the right side blood is shunted to left side from the right side there can be a contamination of oxygenated blood with deoxygenated and that can cause a problem of hypoxia (low oxygen count in the blood) that affects the heart cells and possibly cause heart failure.  

There is a test to determine the amount of oxygen in the blood and that is pulse oximetry (blood taken from the finger tip.  If you don't have the symptoms of hypoxia such shortness of breath, chest pain, muscle fatigue, there may not be a heart issue.  A slight twinge periodically may not be anything of concern, but knowing there is a congenital  heart anamoly you may want to visit the doctor for any possible change.  Ttansatheter can be a procedure for closure.

Thanks for your question and if you have any further questions or comments you are welcome to respond.  Take care,  Ken

[vienna13]

Absolutely! I think you need to talk to a good doctor who would send you to a cardiologist. But second thought: if you know you have a hole you probably already have seen one?
I don’t know what kind of treatment is what you need, but sure need a continued attention in that condition as I imagine it.
Good luck to you.