How is a complete endocardial cushion defect in a pediatric patient treated?

  Patient: Dear Dr. Sun Hello. A friend of mine and my child’s situation is very similar in your hospital for treatment, has basically recovered, after she introduced me to your hospital for treatment of the child’s precordial heart Now I would like to inform you of some of the child’s situation. Instrument model: TOSHIBA Ultrasound: 7.8mm anterior-posterior diameter of the aortic sinus, 9mm anterior-posterior diameter of the left atrium, 8mm anterior-posterior diameter of the right ventricle 15.5mm anterior-posterior diameter of the left ventricle, 5.2.mm internal diameter of the main pulmonary artery Pulmonary valve: peak flow velocity 3.9m/s, peak pressure difference 60mmHg The right and left atrial internal diameters are significantly enlarged, with the right atrium predominantly enlarged. The right ventricular outflow tract was widened, and the septal motion was abnormal. The anterior mitral leaflet and the tricuspid septum were at the same level, forming a single orifice of the common atrioventricular valve, which was oval when open. The subvalvular tendon was attached to the apical left ventricular surface of the ventricular septal stump. The pulmonary artery has a narrow internal diameter, with the pulmonary artery located posteriorly on the right and the aorta anteriorly on the left, both originating from the right ventricle. The pulmonary valve is thickened, with enhanced echogenicity and limited opening. Doppler ultrasound: left-to-right predominant shunt signal can be seen at the atrioventricular level and the regurgitant flow bundle from the common atrioventricular valve orifice during systole pulmonary artery valve orifice antegrade flow velocity is accelerated ultrasound diagnosis: congenital heart disease complete endocardial cushion defect I would like to ask 1 whether the child can have surgery what is the best time to have surgery what are the chances of cure 2 after the surgery what will be the impact on the child’s future life 3 What is the approximate cost, including the operation stage and the regular cost after the operation?  Nanjing Children’s Hospital cardiothoracic surgery Sun Jian: complete endocardial cushion defect is a complex heart disease, usually in 2-4 months will have the performance of heart failure, so it is recommended to operate as soon as possible, usually within 4-6 surgery. Complex surgery cannot be simply spoken of in terms of cure rate, especially for a patient. The cost of surgery is usually around 40,000.