Pediatric Heart Expert Forum
3mm vsd left ventrical
About This Forum:

Questions in this forum are answered by pediatric cardiologists, cardiothoracic surgeons and anesthesiologists from The Children's Hospital of Philadelphia. This forum is for questions and support about pediatric heart problems, symptoms and topics such as heart murmurs, palpitations, fainting, chest pain, congenital heart defects (including management and intervention), fetal cardiology, adult congenital cardiology, arrhythmias and pre-participation athletic screening.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

3mm vsd left ventrical

my daughter was diagnosed with a 3mm vsd when she was born (she was born on due date). she has had scans from birth to 2 years. the hole was still there at 2 years. i have since had problems with my new dr's getting her another scan she was due one at 4 years and it never happened. she is now 6 and i am going to take her private. the doctor says the murmur is still there. she still turns blue if she gets cold and it is hard to control her body temp most of the time. if the hole hasnt closed when she goes for her scan what are the next steps? my last consultant said she might need an operation if it hasnt gotten smaller what are the chances of this?
thanks
vicki
Tags: VSD
773637_tn?1327450515
Dear Vicki

As mentioned above, a 3 mm ventricular septal defect is small and what we call hemodynamically restrictive.  This means that it does not cause any specific problems for the heart (unless it is a perimembranous defect, which can cause problems with the aortic valve).  Therefore, we don't do anything for a defect of this size.  Her other problems are likely unrelated to her heart, although without evaluating her, I cannot say for sure.  I would make sure that, at minimum, she is adequately hydrated, as many children and adolescent patients do not drink adequate fluid, and can then have worsening problems with autonomic nervous system control of the blood vessels, etc.
2 Comments
Blank
Avatar_m_tn
A 3 mm VSD in a 6 year old would be very small, and is NOT causing the problems with blueness and body temperature/circulation issues. Some children have issues with this - my daughter is one. Her pediatrician just called it a primary vascular phenomenon (she mottles VERY easily, even on warm days and has Raynaud's Syndrome, and even on warm days her hands and feet can feel very cold, she's only 2). We were told that this "flukey circulation" can sometimes persist into teenagers.
That said, you might want to have her checked for thyroid problems, as they can cause problems with temperature regulation.
Blank
Continue discussion Blank
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank