Doctor insights on:
Asd Device Closure Complications
Good: If the defect is not overly large, and is located in the center part of the atrial septum (typically an osmium secundum atral septal defect), and there are no associated cardiovascular problems, the short-term and long-term outcomes are very good and catheter based closure is safe in experiences centers. ...Read more
NO: Flecainide has been shown to be dangerous in the early period following a myocardial infarction (CAST study). That concern is extrapolated to avoid use in anyone with previous MI. The mechanism is related to scarred ventricular myocardium. PFO closure doesn't involve the ventricles and shouldn't be a problem. Flec is great for AF which is an atrial problem, like PFO closure. ...Read more
No.: No.Get a more detailed answer ›
Just found out that my PFO closure may have been an ASD closure. Is an ASD closure safe with flecainide?
Diagnostic assessment before fontan operation in patients with bidirectional cavopulmonary anastomosis: are noninvasive methods sufficient?
Not traditionally: I don't believe so. There may be some programs that will experiment with noninvasive pre-fontan imaging, but i believe that this is risky. The pressures are obtainable only by catheterization and this data may change the operation (e.g., whether or not to fenestrate the fontan to allow a pop-off of blue blood to increase the cardiac output.) catheterization also allows presurgical interventions. ...Read moreSee 1 more doctor answer
Not necessarily: A CABG if done without cardiopulmonary bypass (cpb) does not require the heart to be opened, however most cabgs are done with cpb requires cannula placement in the heart. However, most people consider any surgery on the heart where the chest is opened open heart surgery. ...Read moreSee 2 more doctor answers
Depends on defect: Many factors contribute to risks of congenital heart disease Very simple defects usually routinely repaired and uneventful. More complex lesions more difficult and intricate to repair. Some fixes require multiple surgeries. Usually should be performed by experienced pediatric cardiac surgeons, Support personell help things run smoothly.Age of child and any associated comorbidities. ...Read more
How often do cardiac ablation surgeries result in complications requiring pacemakers implantation?
It depends: It depends on the ablation type: almost never for wpw, atrial fibrillation/flutter or ventricular tachycardia; 1% or less for avnrt (atrioventricular nodal reentry tachycardia). In avnrt, there is an extra 'lane' in the av node that conducts electrical impulses leading to tachycardia and the ablation can unintentionally damage the whole av node resulting in heart block and need for pacemaker. ...Read moreSee 2 more doctor answers
Yes but very rarely: It is possible to have an infection in the heart which weakens the atrial septum (causing an aneurysm) or even creates a complete holes (atrial septal defects). This is a very rare finding though and the illness that caused it is generally quite severe. ASDs and atrial septal aneurysms are very common though and most just occur during fetal (i.e. baby) development . ...Read more
Yes: The first successful open heart procedure done on cardiopulmonary bypass was an atrial septal defect repair done by john gibbon in philadelphia in 1953. It is a procedure which has been done for the last 60 years with excellent results. The first atrial septal defect repairs were done off pump with various techniques, including inflow occlusion and hypothermia with circulatory arrest. ...Read more
Sometimes: In Tetralogy of Falot, blood flow to the lungs may be restricted. As there are various degrees of restriction, there may be a need for more blood flow to the lungs. This situation may be helped by maintaining an open PDA. However if the pulmonary valve restriction is not severe, then an open PDA is not necessary. The cardiologist can draw this out for you. ...Read more
They don't but can: Usually angiogram of the aorta and carotid arteries is not part of the cath. Procedure for pfo closure. So it is not performed. But, technically, an angiogram of the carotids, coronaries or other structures can be performed during the same procedure if there was an indication for it. ...Read moreSee 1 more doctor answer