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Six months with scVSD, open-heart surgery or intervention
Hi All,

My son was born with scVSD(Subconal ventricular septal defect, 5.1mm).Now He is six months and doing great(70cm/11Kg).

So far, we have done 3 times of ultrasonic cardiography to track the problem(as below).

The specialist in China says he need to have open-heart surgery as soon as possible(8~10 months) to avoid AP and AI.

I would like to know, in this case, whether open-heart surgery is the only way to deal with the hole?Is it possible to use intervention?

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[1.5 months]
LVDd25 RVDd /  IVSd / LVPWd3 Ao11 LVEF 75%
LVDs15 RVDs /  IVSs / LVPWs7 LA15 LVFS 41%

AAo1.2 DAo1.44 MPA1.2 RPA /  LPA /
MV 0.9 TV 0.7  LVOT / RVOT /

MR 0   TR 0    AI 0   PI Trivial
Atrial value: no shunt
Aortic valve: no shunt
Ventricular value: 4.34m/s(left To right)

Comments
-No enlargement.
-Valves are normal.
-Atrial Septal is intact.
-Aortic is normal, Pulmonary is widened a little.
-The aortic arch is left sided.
-VSD(under Pulmonary) measuring 5.09mm with left to right shunt.

[4 months]
LVDd25 RVDd /  IVSd / LVPWd3 Ao11 LVEF 67%
LVDs15 RVDs /  IVSs / LVPWs7 LA15 LVFS 35%

AAo1.18 DAo1.4 MPA1.0 RPA /  LPA /
MV 1.2  TV 0.7  LVOT / RVOT /

MR 0   TR Trivial,2.13m/s    AI 0   PI Trivial
Atrial value: no shunt
Aortic valve: no shunt
Ventricular value: 4.24m/s(left To right)

Comments
-No enlargement.
-Valves are normal.
-Atrial Septal is intact.
-Aortic and Pulmonary are normal.
-The aortic arch is left sided.
-VSD(under Pulmonary) measuring 5.86mm with left to right shunt(1.85mm).
-Aortic right coronary valve is embedded in position of defect.

[6 months]
LVDd26.7 RVDd /  IVSd 3.6 LVPWd3.6 Ao14.5 LVEF 67%
LVDs17.3 RVDs /  IVSs /   LVPW s / LA14.8 LVFS 35%

AAo1.1 DAo1.4 MPA1.72 RPA 1.26  LPA 1.0
MV 1.1 TV 0.6 LVOT /  RVOT /

MR Trivial   TR Trivial,2.13m/s    AI 0   PI Trivial
Atrial value: no shunt
Aortic valve: no shunt
Ventricular value: 3.3m/s(left To right)

-Comments
-No enlargement.
-Valves are normal.
-Atrial Septal is intact.
-Aortic is normal, Pulmonary trunk is widened a little.
-The aortic arch is left sided.
-VSD(under Pulmonary) measuring 5mm with left to right shunt(2.5mm).
-Aortic right coronary valve is embedded in position of defect.
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1 Answers
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Avatar universal
Hello and welcome to our site. As this is a support forum for families, you would be better served to post your question on the Pediatric EXPERT Cardiology Forum. There a doctor form the Philidelphia Children's Hospital will answer your question. Take care
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