In my 32 week routine check-up at the gynec's, she picked up a few missed heartbeats on the doppler and suggested that we do a fetal echo. In the fetal echo, the doctor thought she saw a 2.2 mm VSD initially but she was unable to reproduce the suspected hole in subsequent images though she tried doing the scan from various angles. In all other images, the hole wasn't visible at all. She picked up one missed beat in fetal echo but said the rhythm and heartbeat were regular. Heartbeat rate- 138 bpm. Apart from this, she said the structure of the heart looked good and the baby's growth was right on track too. She told us that she wasn't sure if there was a hole or not and that even if there was one, a hole this small would close by itself and will not lead to any problems. She suggested that we do an echo of the baby once it was delivered to rule out the possibility that the hole is there. The gynec agreed with her views and said there was no need to go to a pediatric cardiologist.
I want to know if a 2.2 mm VSD if present will cause any problems for the baby and what we need to do once the baby is born to make sure that all goes well. Please help.
Hi, well a VSD is the most common heart defect and in most cases it does resolve itself in the first few years after birth. Being such a small hole between the ventricles, it is virtually certain it will close up on its own as the heart grows. Most VSD children find either it closes on its own, or the hole is so small that it doesn't cause any medical issues, some require medication, some surgery. Even if it did come to surgery to close it, which I very much doubt, then there is a chance it could be done using angioplasty techniques. 2.2mm is not likely to remain open and not give any concerns.
Follow up appointments with echo scans will tell if the hole is closing.
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