The old man is 66 years old and has been diagnosed with congenital heart disease atrial septal defec

Age is not a factor in deciding whether or not to have surgery.

It is necessary to go to the hospital to see, according to the results of the cardiac ultrasound, it is up to the cardiac surgeon to decide whether there is an indication for surgery, it should be said that if it can be done, try to do it, otherwise, the heart function will get worse and worse, and heart failure is inevitable.

Risk? If the doctor thinks surgery is warranted, the risk is there, but not too great, and the risk is even greater if surgery is not done.

Of course, the cost of surgery is tens of thousands of yuan for anticoagulants, and there are two methods, the first is minimally invasive, called intervention, which is blocked with a metal mushroom umbrella, and the trauma is small, but not everyone is suitable, and the cost is cheaper than open chest.

3-40,000 is enough.

Another method is conventional thoracotomy, which is highly invasive and requires thoracotomy.

Good luck to your dad.

Hello, atrial defect is congenital heart disease, I wonder how big the patient's defect is? There is generally no age limit for the operation of congenital heart disease, if the patient's congenital heart disease is detected early, it may avoid many heart problems, and the burden on the heart will only become heavier and heavier as the age increases, so it is recommended to undergo surgery as soon as possible after diagnosis. Hope it helps! ydd

<> refers to the hypodevelopment of the ventricular septum during the embryonic stage, resulting in abnormal communication and a left-to-right shunt at the ventricular level. Ventricular septal defects are the most common congenital heart disease, accounting for about 20% of congenital heart disease, and can occur alone or in combination with other malformations. Defects are usually between zero and 3, larger in the membranous part and smaller in the muscular area.

If the defect site is small, the shunt flow is small, and most of them are asymptomatic.

If the defect is small, the heart size may be normal. In large defects, the left ventricle is significantly larger than the right ventricle. So far, the disease is not very clear, and in the fifth to seventh week of the embryo, a muscular septum is formed from the apex of the ventricle from bottom to top, and from the top to the bottom of the ridge of the heart ball.

The membranous septum from the endocardial cushion at the atrioventricular valve fuses with the first two to form a complete ventricular septum, completely separating the left and right ventricular chambers.

Among the types of congenital heart disease, ventricular septal defect is only one of them, and it is not a disease, it can only be said to be a manifestation that children may have after birth, and it is only a physiological normal phenomenon in the early stage. After all, young children are not fully mature, and when they reach maturity in the later stages, they will no longer have the disease. However, if the ventricular septal defect detected in the early stage is relatively large, surgery is necessary**.

Septal defect disease is mainly located under the aortic valve, the actual size of ultrasound testing may be larger, it will affect the opening and closing of the aortic valve, if the operation can not be carried out in time, it is easy to cause aortic prolapse, active valve insufficiency, can not be recovered, and the valve may have to be replaced in the future. Therefore, the problem of aortic regurgitation can be avoided by using surgery to repair the ventricular defect and subaortic structures at an early stage. Therefore, if the ventricular septal defect problem is really beyond the normal range, it is recommended to perform surgery as soon as possible and do not make the aortic valve more severe, as it will become difficult to operate.

However, for congenital heart disease and ventricular septal defect surgery, the current technology is very mature, and most of them can pass the operation intact. Of course, before the operation, it is necessary to evaluate the function of the heart function, the function of various organs of the body, etc., and the operation is carried out when the conditions permit, in addition, because it is a cardiac result lesion, the drug ** effect is not good, if there is an opportunity for surgery, it is recommended to operate in time**.

Ventricular deficiency is a simple congenital heart disease, and the technology is mature, and the effect is good. There are four main ways of congenital heart disease**: anterior thoracic incision (the surgical field is open and easy to operate) thoracoscopy (minimally invasive surgery, less trauma, faster recovery) small axillary incision (cosmetic incision, small injury, fast recovery); Interventional occlusion** (less trauma, faster recovery, no scarring). If the patient's condition allows, consider the possibility of first choice interventional occlusion**.

Hope it helps, and I wish you health and happiness.

It can cause massive bleeding, affect the body's immunity, affect the blood supply to the heart, affect the brain, and also affect the nerves, and there may be postoperative reactions.

There may be risks of coma, ineffective anesthetics, bleeding, pulmonary hypertension, high blood pressure, etc.

There are several options for timing this surgery:

The first is the general congenital heart disease ventricular septal defect surgery patients, do not be too based on surgery or intervention**, children under two years old, ventricular septal defect is likely to heal on its own, you can observe first.

The second type, if it is indeed not particularly big, it is also very clear, but there are more colds, with the current conditions, the child can still wait until he is more than a year old, and when he weighs about ten kilograms, he will have a much greater safety operation at this time.

Third, if it is a relatively large congenital heart disease ventricular septal defect, his pulmonary artery pressure is relatively high, and the current progress is relatively fast, and this type of patient should be operated relatively early.

Hello, surgery should be required as soon as possible if the following conditions do not occur**

cyanosis in the medical history, especially at rest, with reverse shunts, predominantly from right to left;

During physical examination, tremor is not palpable in the precordial area, and the systolic murmur is short and soft;

Chest radiographs show that the pulmonary artery segments are more prominent, but the lungs are not congested; The left ventricle is small or close to normal;

ECG examination shows that the electrical axis changes to the right, the right precordial lead is a large R wave with typical right ventricular hypertrophy and notching, and the Q wave in the left precordial lead is absent, the R wave voltage is lower than normal, and the S wave is deep;

Right heart catheterization confirmed that the shunt was from right to left, and the pulmonary vascular resistance was greater than 10wood m2.

Surgery should not be performed in any of the above cases, otherwise the patient may not be able to pass the surgery and the postoperative life expectancy will be shorter than that of those who do not have surgery.

If none of the above conditions occur, surgery is performed as soon as possible, and the surgical method is "ventricular septal defect repair". The success rate of mature cardiovascular surgery is nearly 100%. The total cost of surgery is about 18,000 to 20,000 yuan, which varies from hospital to hospital in different regions.

After surgery, it is the same as a normal person.

If you have surgery, it is recommended to go to a hospital that performs a small cosmetic incision in the right armpit for ventricular septal defect repair.

Intervention**Compared with more mature cardiovascular surgery, the risk is very large, so developed countries are currently strictly restricting interventional blocking**. Only a few conditions with greater surgical risk, such as muscular ventricular septal defects and patent ductus arteriosus, are intervened**. Don't overlook the greater dangers of intervention (including the dangers of radiation) for fear of a larger incision.

Please refer to the following references for the risks of intervention**.

I hope you find the above reply helpful.

Hello, congenital heart disease, ventricular septal defect, female, 26 years old, any surgery has a certain risk. Now the technology of congenital heart disease is mature, there is no absolute limit on age, if the indication of surgery is indicated, it is recommended to visit a cardiovascular hospital or a comprehensive **. I hope you find my answer helpful and I wish you good health and happiness.

The most important thing is to depend on the specific condition of the present.

Have you done a cardiac ultrasound recently? How big is the room shortage? How does the heart function? Is there pulmonary hypertension?

If the situation is acceptable, the prognosis for isolated ventricular defect surgery is good. But the information you give at the moment is too simple.