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cardiovascular diseases
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Definition
If the regurgitation between the left and the right atrium is weak, the physician can decide not to treat his patient, but he must then achieve a very narrow monitoring, so that the complications do not occur. On the other hand, when the regurgitation is important, and when it comes for example with a growth delay, the physician entrust his patient to a surgical team who must achieve the obstruction of this communication. Two methods, chosen according to the importance of the regurgitation, its age and its tolerance, exist. One of these methods consists in not achieving a thoracotomy, i.e. not to open the thorax, but to bring a membrane up to the heart by i.v. and place it across the regurgitation in order to fill in the hole (“toemplatze”*). The use of this technique is not always possible and depends on the precise localization of the interatrial communication. * (N.d.T. : “Emplatze” is a prosthesis to fill in the hole). The second technique consists in placing this membrane at the level of the regurgitation during an open heart surgery, which includes more inconveniences than the previous technique. A medical treatment can also be administered, as a symptomatic treatment (see the heart failure treatment). The physician should not forget
the prevention of the infectious endocarditis and should administer antibiotics
in case of aggressive medical gesture such as a fibrocolonoscopy, or a dental
gesture.
File last reviewed on dec 18, 2011 |
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