Hi, Grandson diagnosed with moderate muscular VSD at one day. Feeding and growth went well until 2 months. Now on lasix and growth has slowed. Hole has not appeared to close. A diagnostic catherization is planned at around 3 1/2 months. Just wondering why this would be necessary. They are assuming surgery will be needed at 6-9 months.
Also, with this type of VSD would we need to be concerned about possible q22 deletion?
Muscular ventricular septal defects are common and are not the type that are associated with chromosome 22q11 microdeletion in most cases. However if there is an associated right aortic arch or other aortic arch difference, then that is associated with DiGeorge in some cases. A cardiac cath would be planned primarily to decide whether a VSD shunt was significant enough to close surgically, based on the amount of blood flow going through the hole and the pressure and resistance in the lungs. In other words, if the child's growth pattern is not consistent with what they would expect to see based on the echocardiographic findings, then the cardiac catheterization is the gold standard for decision making about surgery.
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.