Patient: No morbidity at this time. I did not have time to show you the ultrasound last time, so I would like you to take a look at the ultrasound chart for me to see if there is any problem. The echocardiogram shows 1. The ascending aorta and pulmonary artery are not wide, and the aortic valve and pulmonary valve have normal morphological activity. The atrioventricular chambers are not enlarged. 3. The mitral and tricuspid valves are normal in shape and activity. 4.The ventricular septum was not thick, and the septum and the posterior wall of the left ventricle were in retrograde motion, and there were no obvious segmental abnormalities of ventricular wall motion. 5.The atrial and ventricular septum were not interrupted continuously. 6.CDFI: The left-to-right shunt signal with a bundle width of about 0.3cm in the 11 o’clock direction of the short axis of the aorta was seen, with a peak velocity of 5m/S and a pressure difference of 100mmHg. The rest of the intracardiac flow signal and measurement values refer to the above table. Echocardiography: Congenital heart disease Small ventricular septal defect (subcritical type) Valsalva sinus tumor rupture pending exclusion Wuhan Union Medical College Hospital Cardiac Surgery Department Xia Jiahong
Xia Jiahong, Department of Cardiac Surgery, Wuhan Union Medical College Hospital: I just returned from the United States, sorry for the late reply! Small ventricular septal defect (subcristal type) can be considered as a small incisional closure surgery. Valsalva sinus tumor rupture pending drainage can be reviewed regularly. It is difficult to say clearly when the problem will occur, but the key is to have symptoms that will affect the outcome of the surgery, and it is likely that there will be no chance of surgery. The most important thing is that you need to consider this seriously and never be shy about it. z Wish you a speedy recovery and all the best.
Patient: Thank you Dr. Xia, I would like to ask: how much medical cost is needed for a small septal defect (subcrural type) to be considered for small incision closure surgery?
Patient: I’ll send you the ultrasound, please read it and tell me when I’m suitable for surgery and how much it will cost.
Wuhan Union Medical College Hospital Cardiac Surgery Department Xia Jiahong: You may not be able to do small incision blocking surgery. The fact that there is a shunt signal in both places indicates that there is a high possibility of rupture of the Valsalva sinus aneurysm. Even if there is no rupture, surgical intervention should be performed to strengthen this area to avoid future rupture, which may lead to incomplete closure of the aortic valve and then may require valve replacement. Therefore, early surgery is essential. Many of these patients become more troublesome heart disease when they are delayed, and the surgical result is not too good.
Patient: Dr. Xia: I would like to ask if this is an open surgery, you said it is not possible to do small incision blocking surgery, should be surgical intervention? I would like to know how much this will cost? I am still at work, I do not know what time to treat good?
The heart surgery department of Wuhan Union Hospital Xia Jiahong: It is to do the routine surgery, from the chest center incision aggressive. If the surgery is not made early, there is a possibility of involving the aortic valve. What needs to be done now is the septal defect repair and Valsalva sinus aneurysm repair. It is not yet necessary to replace the valve. In our case, the cost of the surgery may be between $25,000 and $30,000. The entire hospital stay may be about 10 days. You will need about 1 month of rest after the surgery. The doctor can only advise you to have the surgery as early as possible so that a small problem does not drag out into a big one. If you work, you will need to take a month off. You can only make your own arrangements for the exact time.
Patient: I see what you mean, thank you Dr. Xia. Thank you, Dr. Xia. I feel better now. I hope you can understand that I am alone in Wuhan, so I can only take care of myself.
Patient: 25,000 to 30,000 is only the cost of surgery, not including hospitalization and medicine, right? You see my condition. Can I do it at the end of next year?
Wuhan Union Hospital Cardiac Surgery Department Xia Jiahong: All the costs are added together. If you have time, you can come to the clinic next Tuesday afternoon to see. It may be more accurate to check it out in person.