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Congenital Heart Disease
my son when born, was diagnosed with

apprx 3.4 mm size restrictive mid muscular VSD, left to right shunt. PG of 28.0mm of Hg across VSD indicative of mild pulmonary hypertension. a apprx 4.8 mm size ostium secundum ASD, left to right shunt. enlargement of RA and RV. at the time of birth he was 4.5 kg body weight

after one year we again diagnosed him and it shows

small central muscular VSD 3 mm, small left to right shunt, peak systolic gradient 70 mm Hg. No ASD. normal LV systolic function (EF 62%), no other abnormality.
presently he is 1 yr 1 month old 10.5 kg of body weight, active, showing normal growth

do you think that VSD will fill on its own or it would require operation. upto what stage should we wait, if operation is required. any precautions/ suggestion

thnks in anticipation of response
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