Cleared by cardiologist but denied for BBL after ventricular septal defect diagnosis, what might cause difference in opinion?

A ventricular septal defect (VSD) does increase the risk of complications when going under general anesthesia. A variety of factors can cause a difference of opinion about whether putting you under is worth the risk, including the anesthesiologist’s experience with VSD, the equipment available to the anesthesiologist, and the distance from the plastic surgery clinic to the nearest hospital.
You can continue to search for an anesthesiologist who is willing to clear you despite your VSD. Another option is to look for a plastic surgeon who is capable of and willing to perform your BBL under local anesthetic and sedation. This eliminates the need for general anesthesia, potentially making the BBL procedure safer for you.

It is always a question of safety. When a medical professional, in this case anesthesiologyst, does not feel comfortable to provide service, you as a patient should respect that as a part of your safety protocol. Evaluation of this kind can depend not only on personal ability but also on given circumstances; if something unpredictable happens during general anesthesia. Some other anesthesiologist and surgical team may be quite comfortable to perform BBL with your medical condition; keep searching and consider doing surgery in Canada? Hope this helps.

Hi! Thanks for your question. The anesthesiologist in Colombia might have denied clearance due to the unique risks associated with your ventricular septal defect (VSD). Even if asymptomatic, VSD can increase the risk of complications under general anesthesia, especially during surgeries like BBL, which can involve fluid shifts and embolism risks. Their decision may stem from stricter protocols or concerns over monitoring capabilities in their setting compared to Canada. Seeking a second opinion or discussing your medical history with the anesthesiologist may help clarify.