Is the ASD defect of the heart operable based on the report?
Patient: Dear Doctor,  I am 45 year female  from Lucknow need advise through your section as a cardiologist told me that my herat is inoperable condition. I am suffering from Cardiac problem since last 20 years like pain in chest, dizziness, swelling in feet, breathing problem etc. then i visited a cardiologist and he performed echocardiogram, the results are following - 1. Large Ostium, Secundum ASD with severe PAH (ASD Defect 25mm) 2. Mindely Dilated RA & RV 3. Good LV, Systolic function 4. LVEF =77% 5. Trival MR 6. Mild TR 7. Mild PR 8. Normal Pulmonary connection 9. No clot/vegetation Therefore I want to know that is there surgery is possible in this case or not. Please advise me.   Best Regards, suman Doctor: HelloIn patients with ASD with the passage of time the shunt become reversed (right to left) due to increased pulmonary vascular resistance. These patients develop severe PAH due to which its become impossible to close the defect. Its Called Eisenmengerisation of the shunt.This could be the possible reason in your case keeping in mind SEVERE PAH reported in your ECHO report.See in the report if it's written Reversal of shunt or right to left shunt across ASD then surgery is not possible Take Care