VSD Closure at Age 30

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I am 30 years old and just discovered that my small VSD is causing mild leakage in one of my heart valves (aortic regurgitation). My doctor is suggesting VSD closure before it can cause more problems in future.

I am really scared about surgery.. does anyone can share personal stories about how surgrey can impact my life?

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    I had a coarctation of aorta repaired when I was a child. Open heart surgery. I also have a bicuspid aortic valve which may need repairing later on. I have dilated cardiomyopathy and atrial fibrillation and am waiting for a catheter ablation which is done with wires in the groin or wrist.

    What you have in laymans terms is a hole in the heart or hole in the septum in the hearts lower chambers.

    It depends on the procedure they are going to use. The Amplatzer Septal Occluder would involver inserting wires into your femeral vein and closing the defect with a type of implant. This is relatively minor with slight risk of embolism (clot) they will give you anticoagulants. Within 6 months normal tissue grows over the device.

    The other way is open heart surgery which involves making an incision in your chest, stopping your heart and putting you on a heart lung machine and repairing the defect with either sutures or some type of patch either made from dacron (pet plastic) or gore-rex or bovine pericardium (cow graft). Within 6 months normal tissue grows over the graft. 

    These procedures are routine and you will be asleep or heavily sedated for the former procedure. Your circulation will become normal and if your heart is enlarged it will return to normal size. 

    You will be given pain medication or drugs to reduce anxiety. You will be given instructions on caring for your wound which mostly means keeping it dry and changing dressing. You should return to normal withing a few week and have a normal life with normal outlook once everything has healed up. 

    Good luck John you are only 30 and have your whole life ahead of you.

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