Pediatric Heart Expert Forum
5mm VSD Muscular Portion
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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.

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5mm VSD Muscular Portion

My son has been detected with a 4mm-5mm vsd in the muscular portion of the heart. It was detected on day 4 of his birth on a routine check up by d doctor. Had a murmur t sound. He has been advised for a follow up check after two months. which size of vsd this falls into ( small or medium). What are the healing chances of the same automatically. Ideally what is the time take to heal. His birth weight was 2.67 kg and after three weeks he is 2.90kg. Any suggestion and guidance? Please advice.
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Dear Amishkeniya,

A VSD of 4-5 mm can be borderline for small or moderate.  And, without evaluating him, I cannot say what the prognosis is for your son regarding the need for surgery.  If he is doing well and does not get out of breath or get sweaty when he eats, he likely does not have congestive heart failure, and hopefully will be able to grow adequately to be able to shrink the hole.  He doesn't have to fully close it; he only needs to grow enough for the hole to be relatively small in relation to the size of the heart and the amount of blood going across it.  Typically, we know this information by about 2-3 months of age.  If it closes, it is usually before age 12 months.
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