Pediatric Heart Expert Forum
Sub aoirtic VSD
About This Forum:

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.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Sub aoirtic VSD

Hello Sir,

My sister's baby boy is born with a sub aoirtic VSD measuring 5 mm with a left to right shunt > 2:1. 2d echo findings are

moderate TR/moderate PAH,
Good LV/RV function,
Intact IAS
No PDA

Can you please let us know if it requires surgical intervention?

We are meeting a pediatric cardiologist also.

Thanks
Bala
Related Discussions
773655_tn?1340656399
A 5 mm subaortic ventricular septal defect (VSD) would be considered a moderate sized hole.  This type of VSD does have the capability to get smaller with time as the baby grows. The echo report suggests that the VSD is large enough to raise the pressure in the lungs (moderate pulmonary hypertension) due to a significant amount of blood flow through the hole (shunt > 2:1).  The decision as to whether or not this hole will require surgical repair cannot be answered at this time.  If the baby does not gain weight well, or breathes fast, or continues to have high pressure in the lungs and an enlarged heart during the first 6-12 months of life, then surgery would likely be recommended.  However if the baby grows well, and the hole gets smaller and the pressure in the lungs returns to normal, then it may not need any intervention.  Careful follow up with the cardiologist is recommended.
4 Comments
Blank
Avatar_m_tn
What is the age of the baby
Blank
Avatar_m_tn
Baby boy is 25 days old.
Blank
Avatar_m_tn
Thank you so much doctor. We would monitor the baby. The baby is having breathing problem only during feeding and all other times no issues. Since birth the baby has gained around 0.5 kilo grams and now weighs around 3.7 kilo grams. Age as of today is 28 days.
Blank
Continue discussion Blank
This Forum's Experts
773655_tn?1340656399
Marie M Gleason, M.D.Blank
The Children’s Hospital of Philadelphia
Philadelphia, PA
773637_tn?1327450515
Jeffrey R Boris, M.D.Blank
The Children’s Hospital of Philadelphia
Philadelphia, PA
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
How to Silence Your Inner Critic an...
Apr 16 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eaters: How to Silence Yo...
Mar 26 by Roger Gould, M.D.Blank
1344197_tn?1392822771
Blank
Vaginal vs. Laparoscopic Hysterecto...
Feb 19 by J. Kyle Mathews, MD, DVMBlank