Patient's question:
The diameters of the great vessels in the newborn's chambers are acceptable, and the morphology of all valves is normal. The wall motion is adequate. There is a 12 mm interruption in the mid-atrial septum, and a 5 mm membranous ventricular septal defect (VSD) with color Doppler flow imaging (CDFI). A patent foramen ovale (PFO) is seen with, VP 2.33 m/s, and a subaortic stenosis of 22 mmHg. There is left-to-right shunting at the atrial level with red flow signals. The pulmonary artery jet is 3.01 m/s with a gradient of 36 mmHg. The mitral regurgitation is 3.39 m/s with a gradient of 46 mmHg. The tricuspid regurgitation is 3.2 m/s with a gradient of 41 mmHg. For the congenital heart disease (CHD) VSD (membranous), ASD (secondary), PS (valvular), and MRTR, what assistance is needed: the best time for treatment, the best hospital for treatment, and the surgical plan.Doctor's answer:
The optimal time for surgical treatment is determined by various factors, including the complexity of congenital deformities, the child's age and weight, overall growth and development, and nutritional status. For simple congenital heart defects, it is generally recommended between the ages of 1 and 5. This is because if the child is too young or underweight, with poor overall growth, development, and nutritional status, the surgical risk will be increased. If the child is too old, the heart may compensate by reducing in size, and in some cases, pulmonary artery pressure may even rise again, similarly increasing the difficulty of the surgery and prolonging the postoperative recovery time. For pulmonary hypertension with severe congenital deformities that interfere with growth and development, and where the deformity threatens the child's life, early surgery is the best option, regardless of age. For complex deformities requiring staged surgeries, the earlier the surgery, the better, without being affected by age.