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My son has pediatric cardiology problem
Dear Mr. R. Boris M.D.,
My son has cardiology problem. At the age of 1 month 1week,we found through Echocardiography that "A small ASD 2degree is seen, size 2 mm,. Tiny Patent Ductus Arterious (PDA) seen, size 1.2 mm,. Mild RPA origing stenosis noticed. PPG: 30 mmHg.RPA origin size 3.5 mm.
The last Echo report (3rd one) at age of 5 months stated that "Post small ASD 2degree seen, but not now vanished, small Patent Ductus Arterious (PDA) seen, size 1.3 mm with left right shunt, restrictive. Mild RPA origing stenosis noticed. PPG: 15 mmHg.RPA origin size 4 mm.
Will the PDA close automically or it will require surgery? does there any improvement in my son's heart between this two reports? what about the pressure at the right pulmonary artery? The doctors's advised for another Echo test after 3 months & prescribed a medicine,
Your response in this regard shall highly be appreciable
THANK YOU


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Hi, as per the reports the ASD appears to have closed spontaneously. The PDA however is patent. After the first few weeks of life, persistence of ductal patency is abnormal. The pulmonary pressures are low as of now. If the PDA does not close by one year of age, he may need surgery to close the defect. The progress will be evident in the next follow up imaging studies. You will need to post this query in the expert forum for the above mentioned specialist to answer. Please try there. Regards.
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