Patient: Professor Zhang: Hello! I’m 22 years old and I have a pre-cardiac ductus arteriosus. Sometimes my heartbeat suddenly intensifies, but it only lasts for two or three seconds, and then it returns to normal. Will it heal after surgery? If I have surgery, is there any way to avoid leaving a scar on my chest? Thank you! Zhang Jie, Department of Cardiothoracic Surgery, The First Affiliated Hospital of Xinxiang Medical College: I wonder if you have recently had a cardiac ultrasound? If the recent cardiac ultrasound shows a left-to-right shunt at the ductus arteriosus, surgery is possible. If there is a combination of pulmonary hypertension, you need to operate under extracorporeal circulation. If there is no severe pulmonary hypertension, you can also ligate the catheter directly, and the surgical incision can be chosen as a small incision in the left axilla. If you do not want to leave scars on your chest, you can take interventional blocking treatment, but of course the cost is higher. We suggest that you see a cardiac surgeon at the hospital for specific treatment. Patient: Dr. Zhang: Hello! First of all, thank you for taking time out of your busy schedule to reply to me, and I apologize for not providing comprehensive information last time. I went to the hospital for an echocardiogram about a year ago, and in the file is the general picture of the ECG. Is it serious? What are the options for surgery so far? Which of these methods should be preferred? What is the cost? Can I recover after surgery? Thank you for getting back to me! Zhang Jie, Department of Cardiothoracic Surgery, The First Affiliated Hospital of Xinxiang Medical College: From the heart ultrasound results you provided, you should be suffering from congenital heart disease with a ventricular septal defect, but there is no indication of the size of the defect. The pulmonary artery pressure (20mmHg) is in the normal range, and it can still be treated. The treatment methods are open-chest direct vision surgery and cardiac intervention, I think surgery is the first choice, the cost is about 10,000 yuan in our hospital, and it can be cured after surgery. Of course, cardiac intervention can also be considered, but the cost is higher. Patient: Dr. Zhang: Thank you for your reply! I would also like to ask, will the open-heart surgery leave scars? What is the approximate cost of cardiac intervention? Thank you! Zhang Jie, Cardiothoracic Surgery Department, The First Affiliated Hospital of Xinxiang Medical College: The incision for open-chest surgery can be made in the axilla or in the middle of the sternum, which will leave a scar after surgery.