A patient is diagnosed with a septal defect. The physician talks with the patient about options to close the defect. After the physician leaves the room the patient asks you about closing the septal defect. What should you tell the patient?
A) "Many septal defects can be repaired percutaneously in a cardiac catheterization laboratory."
B) "Repairing a septal defect is a dangerous procedure."
C) "Most septal defects need to be repaired through open heart surgery."
D) "I would have to think hard before deciding to have a septal defect repaired."
Ans: A
Feedback: Many septal defects can be repaired percutaneously in a cardiac catheterization laboratory. A guidewire is advanced through a vein into the right side of the heart and through the septal defect. A special catheter is placed over the guidewire and positioned across the septal defect. Two connected mesh disks are then used to close the septal defect. Options B, C, and D are incorrect answers. Repairing a septal defect is no more dangerous than other cardiac surgeries. Most septal defects do not need to be repaired through open heart surgery. Option D is a personal opinion and should not be used to respond to the question asked by the patient.
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