My child has a 5 mm vsd perimembranous, we have known since birth. We have brought her to cardiologist appointments every six months and then even waiting as long as a year as she has done well, growing, as she had no symptoms and tissue partly covering hole. She had mild left side dilation in previous visits, no medication. Now she just turned 3 years old and we had appointment last month and left side dilation has increased so they tell us surgery indicated within a year. Can this be typical to have increasing left side enlargement when child is older and to indicate surgery? I thought this matter would improve with age, not be worse. Thank you so much doctors.
Without having all of the information about your daughter, I cannot fully say what needs to be done for her. Typically, a VSD requires closure if there is too much blood crossing the defect. If there is tissue partially obstructing the defect, that should restrict flow across it. However, that's not always sufficient. It doesn't necessarily improve with age, though, which is why continued visits are necessary. Unfortunately, real and progressive dilation to any heart chamber is not good for it in the long run, as it can lead to decreased function as well as arrhythmias. For something like this, though, in which she has no symptoms but has chamber enlargement, I would definitely consider a second opinion to ensure that this decision is acceptable to and understandable by you.
Thank you very much doctor. I wish I could obtain a second opinion but that would be out of my pocket and hard to do. Our doctor did take her files to meeting of panel of colleagues and they all assessed to close vsd before next summer. She still has not had symptoms or medications but the enlargement has increased much more than when she was 1 and 2 years old. I imagine with increase the symptoms eventually to show up and better to prevent this.
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.