Summary of case

patient, 7 year old girl, known case of ASD presented to AnE because of symptoms suggestive of bronchopneumonia. currently shows signs of cardiac failure with pulmonary hypertension.

detected with ASD since 1 1/2 years of age. deferred surgery but on six monthly follow - up at HSA.

previously child was known to be well and able to undergo normal daily activities (did not involved in vigorous exercise). family from low socioeconomic class. both parents work and earn rm1500 in total. have 4 children still schooling.

reason of parents not wanting surgery:
1) confused, dont fully understand condition
2) wanted alternative treatment
3) money?

TASKS

1. Ethical and legal issues concerning parents and doctors (MALAYSIA!!!!!! – mano)
2. Doctors role in advocating to child? - maze
1. Compare law in Singapore n Australia
3. Support (financial, support group, NGOs etc for pre and post surgery) - saree
4. Types of Congenital HD -christine
5. Pathophysiology ASD (now to future) yazid
6. Prognosis (with or without treatment) chris
7. Types of management for ASD (EBCP) alvin