My Son was only 5 days old when he underwent an open heart surgery due to Pulmonary Valve Atresia. He was taking propranol for a year and stopped till he was 3yo. He is perfectly doing well, healthy and energetic. However 2D echo shows he has an enlargement of the heart. He's medication was continued on a 5mg propranolol once a day to control heart beat. My pedia cardio was mentioning about surgery to open the narrowing valve, I am scared for another operation. My son is perfectly well so I want to ask what could be the obvious symptoms that could manifest if my son really needs a second operation?
I cannot tell exactly what is happening with the enlargement of the heart that you are describing. I would guess that, if he needs repeat intervention to open the valve, the right ventricle is getting either thicker or more dilated. I will tell you that, with pulmonary atresia with intact ventricular septum, he will likely need at least 1-2 more surgeries, if not more. However, in experienced centers, these patients typically do well. As well, it is important not to wait for symptoms before the surgery. Symptoms can indicate that the heart is SO sickthat it may potentially be too late. We have certain thresholds of estimated pressure in the right side of the heart and across the pulmonary valve that we look for (as well as other findings) that can give us an indication that it's time to have the procedure performed. Your cardiologist should be able to discuss this further with you so that you understand the indications for timing of the next intervention.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.