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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Safe Is Lasilactone To Treat Extra Liquid And Pressure ?

Hi, This is regarding to my son, He was diagnosed: 1. Cyanotic congential heart disease 2. dTGA 3. VSD 4. Severe PS Ist Surgery : at 2 month age, he gone through BT-Shunt, procedure was done Right Modified BT-Shunt. 2nd Surgery : at 1 Year 7 month, he gone through Transventricular total correction (dacron patch VSD Closure + infundibular resection + sub pulmonary membrane resection + PA Plasty + pericardial patch to RV) 3rd Surgery: Now after few year follow up doctor s suspect some kind of RV-PA gradient increase, so on the 5 year 4 month, he gone through another surgery, Direct closure of residual ventricular septal defect + right ventricle to Pulmonary artery conduit (14 mm Vascutek Tube) + resection of subpulmonic membrane done. All surgeries have been done in Escort After few months Escort doctor again suggest for another surgery. So I thought for a second opinion and I rushed to Naryana Hrudalaya for the same, he suggest Homograft conduit but first they want my child to be in stable age or in good age, so they suggest Lasilactone medicine to out extra liquid from body to lower down pressure. We didn’t get any symptoms of tiredness or any other fatigue. But last week I went through another follow up in Medanta and found that conduit replacement is not possible as Conduit is adherent or fixed with RCA, so to remove conduit can cause any difficulty in RCA. Please advise what to do in this case. Please let me know in case if you need reports as well.
Tue, 27 Jun 2017
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Cardiologist,  's  Response
The question that you have posed is difficult and very complex. Your physician's have worked to provide a temporary improvement and time to grow followed by attempted correction of birth anatomy. The problems that arise after surgical procedures become even more difficult. Although the anatomy at birth and afterward falls into broad classifications, every person is just a little different. It is not possible to provide you the expert opinion that you need without a detailed review of the work that was done and the current studies done to investigate. In addition, the opinion should come from a team of physicians whose only interest is congenital heart disease. This includes cardiologists and cardiac surgeons who are pediatricians. You seem to have found just such a team. It is probably best to have the two teams of doctors communicate and help decide what is best.
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How Safe Is Lasilactone To Treat Extra Liquid And Pressure ?

The question that you have posed is difficult and very complex. Your physician s have worked to provide a temporary improvement and time to grow followed by attempted correction of birth anatomy. The problems that arise after surgical procedures become even more difficult. Although the anatomy at birth and afterward falls into broad classifications, every person is just a little different. It is not possible to provide you the expert opinion that you need without a detailed review of the work that was done and the current studies done to investigate. In addition, the opinion should come from a team of physicians whose only interest is congenital heart disease. This includes cardiologists and cardiac surgeons who are pediatricians. You seem to have found just such a team. It is probably best to have the two teams of doctors communicate and help decide what is best.