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Tiffin, OH
A 34-year-old female asked:

I have history of a asd repair as a child, large amount of scar tissue on my heart . last few month retaining fluids in my legs/ abdomen, notice low bp but increase pulse . what could be wrong?

4 doctor answers8 doctors weighed in
Dr. Steven Ajluni
Cardiology 35 years experience
Echo/CTscan help: Increasing fluid buildup w relative low BP might suggest right sided heart pressures elevated (unlikely due to ASD particularly if successful repair as a child). Need to rule out calcification and thickening of the pericardium (constrictive pericarditis) which can sometimes occur decades after surgery when there is a " large amount of scar tissue on heart". A cardiac ct and careful echo doppler.
Dr. Otto Placik
Plastic Surgery 34 years experience
See cardiologist: If you are not already seeing a cardiologist i would immediately. These are signs of potential congestive failure.
Dr. Rick Koch
Cardiology 22 years experience
Cardiologist : You need evaluation with a cardiologist as your symptoms are concerning. They will check an ekg & order an echocardiogram likely.
Dr. Sarosh Batlivala
Pediatric Cardiology 16 years experience
Many Things: Many complications can arise in adults who had heart surgery as children. Abnormal heart rhythms, decreased heart function, fluid around the heart, and residual heart anatomy problems are just a few. The only way to determine them is to be seen, examined, and possibly have tests done. I strongly encourage you to see an cardiologist trained in adult congenital heart disease.

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Last updated Oct 12, 2017

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