23rd September 2021

A 13-year-old male presents to his cardiology appointment with worsening shortness of breath

A 13-year-old male presents to his cardiology appointment with worsening shortness of breath and increasing tiredness. He attends this clinic for monitoring of his atrial septal defect. He has no other past medical history. An echocardiogram shows a significant secundum-type defect, resulting in a left-to-right interatrial shunt.

Which of the following is the most appropriate management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.