Patient: description of the disease (onset time, main symptoms, hospital, etc.): my child was just born, lips purple and black, more obvious when crying, heart murmur, the second day of life, that is, color Doppler echocardiography, the report card is as follows: 1 aorta slightly widened, aortic valve echoes are not coarse, open good, close still good. The right coronary artery was dilated 0.32 CM, with a tortuous course, the internal diameter of the pulmonary artery was small, the pulmonary valve ring was 0.45 CM, the main pulmonary artery was 0.52 CM, the branches were small, the pulmonary valve was open and closed well, and the main pulmonary artery was seen to communicate with the descending aorta with an internal diameter of 0.26 CM, and it was in the shape of a tube. 2 There was no thickening of mitral valve echogenicity, good valve opening and good closure, no thickening of tricuspid valve echogenicity, good opening and poor closure. 3 The left atrium is not large, the left ventricle is not large, the right atrium is not enlarged, and the right ventricle is not enlarged. A right coronary artery breach is seen within the right ventricle near the tricuspid annulus of the right atrioventricular groove. 4 The interventricular septum is inverse to the posterior wall of the left ventricle, and there is no hypertrophy of the interventricular septum. 5 There was no continuous interruption of the interventricular septum, and the septal fossa ovalis was seen drifting the left atrium, with a continuous interruption of 0.35 CM. The left atrium was seen penetrating the diaphragm in the septal fossa with red-colored flow of V0.6 M/S. 5 CDFI did not show any signals of systolic regurgitation on the mitral valve or the tricuspid valve, and no signals of diastolic regurgitation were seen on the main valves. Continuous flow signal is seen right at the right coronary artery breach near the tricuspid annulus of the right atrioventricular groove. Shunt signal with descending aorta was seen in the main pulmonary artery, 0.3 CM wide, with a maximum flow velocity of 3.7/2.7 CM/S Ultrasound diagnosis: congenital heart disease: right coronary artery fistula into the right ventricle arterial ductus arteriosus not closed foramen ovale not closed pulmonary stenosis Untreated What about this condition? Is surgery necessary? What kind of surgery is needed? When is the best time to do it? Is the operation life-threatening? What should children and adults pay attention to before the surgery? Will I be able to live like a normal person after the surgery? Are there any after-effects? How much should I prepare for the surgery? Please give me detailed instructions, thank you …… Xia Jiahong, Department of Cardiothoracic Surgery, Wuhan Union Medical College Hospital, Wuhan, China Patient: Thank you, Prof. Xia, we are very worried now, what should we pay attention to before the surgery? How to take good care of the pediatrician? How much do we need to prepare for the operation fee by then? Please …… Xia Jiahong, Department of Cardiothoracic Surgery, Peking Union Medical College Hospital, Wuhan, China: Pay attention to strengthening nutrition, avoid colds, and give some oxygen when appropriate. There is no special point. Routine surgery, don’t be in a hurry. The cost should be around 30,000 yuan, Guangdong may be a little higher. Patient: Thank you, Professor Xia, thank you very much …… There is another question I would like to ask Professor Xia, pediatric surgery before you can fly? Can you fly after surgery? Xia Jiahong, Department of Cardiothoracic Surgery, Wuhan Union Medical College Hospital, Wuhan, China: Before surgery, it is better not to fly. There should be no problem after surgery Patient: Thank you, Prof. Xia!