My newborn son was just diagnosed with a 9mm VSD. He does breath a bit hard and tires easily during feedings. He is very strong and alert. The appointment showed an enlarged heart due to the extra workload. I believe the liver was palpable also. There were good femoral pulses. Oxygen saturation level was 96. When we left the hospital he was 7.2 lbs and yesterday at the cardiologist was up to 9.7 lbs. They put him on digoxin and lasik (sorry for spelling). My questions are #1 - Is surgery going to be required? #2 - if so, can they do the repair with a cath procedure? I believe the VSD is near the top to mid section of the wall. Thank you for your time.
Without evaluating your son, I cannot say for sure if his VSD will require repair. Certainly, with a 9 mm defect, the likelihood is definitely higher. As well, since it sounds like he has symptoms of congestive heart failure (breathing harder/sweating with feeds), he may not be able to go without repair. The medications can be helpful in decreasing CHF symptoms AS LONG AS he is able to grow and make the defect smaller. He doesn't have to close it all the way; it just has to be small enough to limit the amount of flow through the defect so that he doesn't have these extra symptoms. However, a defect of that size is less likely to allow that to happen.
Finally, this is typically not done in infants by catheterization; it requires surgery, especially if it is a perimembranous/conoventricular defect.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.