asd

[anjan10]

hi,i am anjan aich,i am a film maker of bangladesh.my son who is 1 month and 20 days old just indentified thad he has a asd.it is 1,2 mm.what can i do?

[anjan10]

THANKS a lot.and thanks a lot

[Ger57]

Please note that I am NO doctor. For professional comments on your son's condition and on the report I must refer you to you cardiologist.

As I read the report, it says:
-ASD type 2 (we discussed this before. It statistically has the best outcome) with hole in wall between the two atria of 1.2mm. (this is very small)
-The pulmonary valve (valve between right ventricle and pulmonary artery) is in good condition with negligible narrowing.
-There is minimal leakage in the tricuspid valve (this is the valve between the right atrium and the right ventricle)
-Patent Ductus Arteriosus (PDA) (the small vessel that connects the aorta to the pulmonary artery. This vessel normally closes soon after birth) is already closed
-There is no narrowing of the aorta
-All chamber dimensions and other valves are in good condition

All in all it seems to me that the heart issue of your son are only the ASD. The rest seems just fine to me. As it is type 2 and the hole in so small, I guess it will close from itself very soon.

[anjan10]

dear dr,the description of the echocardiogram is .................
a small ASD 2; is seen,size 1.2 mm with left to right shunt,restrictive.negligible pulmonary valve stenosis noticed.ppg;15 mmhg.trivial TvR noticed.no pda or coarctation seen.chamber dimensions normal.all other valves and tracts are normal.no pericardial effusion is seen.good biventricular function.
plz tell me about this report.
anjan aich

[Ger57]

Hi Anjan,

1.2mm is really very small. Because it is so small, there will be not much blood flow from left atrium to right atrium, so even if the hole would not close on itself in time, the chances of heart problems are small. The propanolol is a beta blocker for even further reduction of that chance.

At this moment there is no acute problem for your son, so do not worry. Your cardiologist will monitor the development of the hole in the coming months/years. In time, it will become clear whether the hole closes on itself or needs some doctor's help to get closed.

Your cardiologist can tell you the type of ASD.

Good luck to you and you son!
Ger

[anjan10]

thank you for ur reply.my son"s asd is 1,2 mm.it is sure.bt how can i comfirm that it is type 1  or 2?my cardiologist give my son a medicen.it is propanol.1/8
morning,and 1/8 night.i am very confiuze.plz give some advice

[Ger57]

Hi Anjan,

There are different types of ASD, some often close on their own and some won't.
If your son has ASD in the middle of the septum (ASD type 2) (8 out of 10 patients have this type), then there is a good chance that the defect will close on its own.

Doctors often decide to close an ASD in children who still have medium to large holes by the time they are 2 to 5 years old.

If your son has ASD type 2 with diameter of 1.2mm (this is very small) you should wait to see how it develops in the coming years. Even if you meant 1,2cm (this is considered moderate to large defect) it is probably best to wait.

What does your cardiologist propose to do?