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Most
parents assume that after "corrective" surgery has been
done the problem is solved, the child is well. Only rarely this
is the case. Let me explain with an example: if your child has a
heart valve that does not open properly (it is "stenotic"),
then this valve is not only too small but the valve tissue is also
too thick, it is scarred. This valve can be opened up to allow better
blood flow, but it cannot be converted into a normal valve with
normal valve tissue. Even valve replacement would not solve this
problem because mechanical valves do not perform well on the long
run and transplanted valves tend to deteriorate as well. So you
must be aware that even after complete successful surgery there
is often residual disease which may require medication, restriction
in the excercise limits or even repeat surgery. Fortunately, some
heart problems can be completely restored by the surgeon, but even
then the surgical scar will be a reminder of the past.
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