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Просмотр полной версии : TELL or SAY PLEASE, UMOEJ DAUGHTERS 9 MES, DEFECT OF THE INTERATRIAL SEPTUM 0...



OLGA
24.08.2004, 04:19
TELL or SAY PLEASE, UMOEJ DAUGHTERS 9 MES, DEFECT OF THE INTERATRIAL SEPTUM 0, 7 SM, WHETHER CAN HE IS INDEPENDENT ZAROSTI? ONE DOCTOR TO US HAS TOLD or SAID, THAT CAN, AND ANOTHER IS NOT PRESENT.

Tutelman K.M.
25.08.2004, 16:16
Defect of an interatrial septum of 7 mm - not such and small defect, therefore unequivocally to tell or say, that defect can be closed independently is impossible. Defect will be closed or not depends on several parameters, and in particular from a locating of defect and size of dump of a blood through it or him. In any case at small size of dump and at otsutstvi attributes of an overload of the right departments of heart expectant or waiting tactics is possible or probable.

Olga
27.08.2004, 18:52
Tell or Say please, how long we can wait and not do or make operation, and can and do without in general it or her, at such data:
The left auricle 1, 4 sm of the rights. An auricle 2, 2 sm
Left ventricle - the rights zhelud. 1, 9
KDR-2 sm KRS-1, 3 sm KDO-13, 4 KSO-4
UO-1, 8 FV 68 %
Mitral klap: cusps are not changed
Aortal: cusps are not changed
Aorta: an ascending aorta 1, 1
Trikuspidalnyj the valve: are not changed
Pulmonary artery: 13
Fibrous ring 1, 8 sm
The conclusion: Defect MPP, secondary at the left the right shunting of a blood.
Volumetric diastolic overload of software, PZH. Sokrititelnaja function of a myocardium is saved.
How much approximately there is an operation at DMPP in institute Bakuleva, and whether probably in general to get in this clinic?
Many thanks for such fast and clear answers answers.

Tutelman K.M.
30.08.2004, 10:45
Has not understood on your record what digit concerns to the sizes of the right auricle, and what right ventricle. Approximately to estimate or appreciate presence or absence of an overload of the right departments it is possible as follows: in norm or rate at the given age the right departments dozhny to be already less left, therefore if the right auricle more left, and a right ventricle more left the overload is present and surgical correction of defect is shown. How much quickly and during what moment provozhit operation is solved by the cardiosurgeon after survey of the child and reception of results of inspection. In Bakulevsky to get it is possible, on a quota (it is allocated with institute for the certain area) operation free-of-charge. In some cases vozmodzhno closing of defect by the special adaptation - okkljuderom (miniinvazivnyj a method without opening a thorax), but the given operation is carried out platno, you can specify details on ph. 414 75 90, 414 78 69.