23rd September 2021

A 15-year-old female presents to her cardiology appointment with increased tiredness

A 15-year-old female presents to her cardiology appointment with increased tiredness, which had been ongoing for a few months. She has a past medical history of an atrial septal defect. Her most recent echocardiogram demonstrated a significant primum-type defect, with a right-to-left shunt that was reversible with pulmonary vasodilator therapy.

Which of the following is the most appropriate definitive management?

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