Pediatric Heart Expert Forum
ASD
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my 13 moths old daughter was diagonised with 3mm hole heart in heart after taking her for an echo test.she recently had kawasaki disease.since they didnt tell us about the hole at birth could the kawasaki  cause this hole?
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Dear Farasd,

Kawasaki’s disease is an uncommon autoimmune disease that causes inflammation throughout the body, and leads to persistent fevers, conjunctivitis, dry lips and strawberry tongue, swollen lymph glands in the neck, hand and foot redness and swelling, and a rash.  With regard to the heart, it also causes inflammation of the medium- sized arteries, including the coronary arteries, especially if it is not treated.  It also can cause inflammation of the lining around the heart (pericarditis), the valves (valvulitis), or the heart muscle (myocarditis).  However, it does not lead to atrial septal defects, or holes between the upper two chambers of the heart.  This is likely something with which she was born.  There probably was no reason to tell you about it when she was born, because no one knew about it (unless she had an echocardiogram during earlier infancy).  A 3 mm hole is quite small, and has a good chance of spontaneously closing by age 3 to 5 years without need for medical or surgical intervention.  Obviously, I can’t tell without evaluating her, but she also probably will have no clinical symptoms associated with it.
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