Pediatric Heart Expert Forum
ASD and VSD
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ASD and VSD

Sir,i am sagar,mbbs student from india.sir,my brothers 15days old daughter has both ASD and VSD.
ASD-moderate sized os-asd with L-R shunt.
VSD-there are 2 VSDs
        1)  moderate sized restrictive,subaortic VSD measuring 8mm with PSG-50mmHg
        2)  mild muscular VSD.
Just recentely we had done 2D ECHO test.our cardiologist has said nothing serious matter..and said to do 2D ECHO test after 6 months...how much % of chances are there to close all 3 holes naturally or we"l require surgery?
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773637_tn?1327450515
Dear Sagar,

Without knowing the size of the ASD or the mid-muscular VSD, it is difficult to know whether they will spontaneously close.  An 8 mm VSD is actually quite sizable in a 15 day old infant, so it is difficult for me to understand how there is a 50 mmHg gradient across the defect.  The likelihood that this defect will close is fairly low, though.  Your brother will have to watch for his daughter getting out of breath with feeds or getting sweaty with feeds, as this will indicate congestive heart failure.  In fact, follow-up may be necessary much soonter than 6 months of age, if there is a moderate sized ASD plus an 8 mm VSD plus another VSD.  She may need to be seen within the next 2-4 weeks, due to the amount of potential shunting that she could exhibit.
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773637_tn?1327450515
Jeffrey R Boris, M.D.Blank
The Children’s Hospital of Philadelphia
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