Patient: my son is 4 years old, he has congenital heart disease; ventricular septal defect, ultrasound on July 10, 2008; right ventricular outflow tract: 19.4 MM, main pulmonary artery: 15.21 MM, aorta: 16.9 MM, valve flow velocity (M/S): pulmonary artery: 1.49, aortic valve: 0.94, tricuspid valve: 0.54, mitral valve: 0.9, descending aorta: 1.2, Cardiac function measurements: LAEF: %, FS: 36%, ventricular right collaterals, body vein inflow into right atrium, pulmonary vein inflow into left atrium, left atrium enlargement, right atrium normal size, tricuspid valve and mitral valve normal morphology and function, left ventricle enlargement, septum and left ventricular posterior wall retrograde motion, motion amplitude is acceptable, septum interrupted. The left-to-right shunt was 3.9 mm (long axis) and 3.8 mm (short axis) in size, with a septal pressure difference of 80 mm Hg. The pulmonary valve had normal morphology and function, the right coronary valve was prolapsed, and no regurgitation was detected. The origin of the right coronary artery is normal. The direction is normal. Ultrasound suggests 1. septal defect (perimembranous outflow tract) and 2. aortic right coronary valve prolapse. (Last July ultrasound did not have aortic right coronary valve prolapse, ventricular defect 6.9mm, once a year,). Please tell me, can my child have an intervention? When will it be done? Is it urgent? Xiao Shiliang, Department of Cardiac Surgery, Wuhan Union Hospital
The first thing you need to do is to have the right coronary valve prolapse, which may affect the aortic valve. If you want to do it, you need to do an ultrasound here first to see the degree of right coronary valve prolapse and the location of the ventricular defect. The ventricular defect should be done, and it should be done now. As for whether to do the traditional surgery or interventional need to be determined again to