Vincent A. Parnell,Jr.,MD, Chief,Pediatric Cardiothoracic Surgery at Schneider Children’s Hospital | Childrens Hospital of Michigan, Fellowship in Congenital Heart Surgery discusses endocardial cushion defect.
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Interviewer: There is a condition cushion defect, what is that mean. Interviewee: Well Cushion defects or Endocardial Cushion Defects are another relatively common form of congenital heart disease. They are particularly common in children but Down syndrome so 50-70% of children with Down’s syndrome will have congenital heart disease and then majority in those children have some type of endocardial cushion defect or atrial canal which is another term that we use for the same type of problem. These types of defects occur in many different forms, to tour exactly the same but they do feed into two broad categories. These the category where there is a large in the wall between the upper and lower chambers of the heart and in those children repair is generally necessary relatively early in life they behave the same way a large hole in the wall between the bottom chambers of the heart would behave and in generally it don’t get smaller with time. And the second broad categories are the one we have predominantly a hole in the wall between the upper chambers of the heart. In those holes will behave more like a hole in the wall between the upper chambers of the heart and those children will generally have them more benign course and surgery and many of them can be delayed until after a year of 18 months of age. Interviewer: Prognosis if usually? Interviewee: The prognosis for patient with the cardial cushion defects is excellent. It the patients can have a normal life in a normal activity for them of course some of them maybe limited by there down syndrome if in fact they do have that. But in terms of there heart the repair should be in most cases able to be accomplishing with the very low risk and with an excellent quality of life. But patients with endocardial cushion defects also have imperfect valves inside the heart. Although the prognosis is excellent they do have some risk of needing further surgery on there valves as they get older. Usually that surgery is going to be a repair, not a valve replacement and usually they call a rightful be excellent and there activity will be excellent. Interviewer: Thank you very much.

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