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KXLY July 21, 2021 4:45 PM David Majdalany, M.D., Mayo Foundation for Medical Education and Research Posted: Updated: July 21, 2021 11:11 PM DEAR MAYO CLINIC: I have a congenital heart defect, and my initial surgery at 32 was complicated. I continue to have heart problems. At my last visit, my cardiologist said I would likely need another surgery. I’m afraid to have another procedure. How do I know if I need one, and why would a revision be needed? ANSWER: Patients with moderate to high complexity congenital heart disease often undergo multiple interventions. Not knowing what condition you have, many patients with diagnoses such as tetralogy of Fallot, truncus arteriosus, complete transposition of the great vessels, congenitally corrected transposition of the great vessels, certain aortic arch abnormalities, some cases of Ebstein anomaly and others, will need to have several surgical or catheter-based procedures that are typically palliative. These patients may req

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