Pediatric Heart Expert Forum
VSD muscular 4mm, ASD2 4mm,PHT
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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.

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VSD muscular 4mm, ASD2 4mm,PHT

Dear Dr.  
My baby girl is 2 months and 2 weeks old her doctor told me se suffers from VSD muscular 4mm, ASD2 4mm,PHT and he gave her medicine lasix and lanoxin but she became lazy, less active and always sleepy without appetite. I found that one of the side effects of lanoxin is deficiency of potassium in blood, I asked the doctor he told me to give her aldactone but she peeing more and sweating more and vomiting and her legs look blue sometimes, so I stop giving her lanoxin and aldactone, please is it good to stop these medicines especially I found her better without them but not exactly as she was, help me what should I do?
and is it better to stop all these medicines?
and I want to know whether they can be repaired spontaneously by time or she needs a surgery, note that her heart is some how enlarged but she was gaining weight every month about 600g before medicine?
please give me full explanation about her case.
thanks

with respect Diana
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773637_tn?1327450515
Dear Diana,

As was mentioned above, DO NOT stop the medications without discussing this with your cardiologist.  Without evaluating your daughter, I cannot say what is happening for sure.  However, it is quite likely that your daughter has congestive heart failure, which means that the heart is not able to keep up with the body's metabolic needs.  The heart and lungs are likely working much harder than they should be, and need to have some of the extra fluid removed by these medications.  However, if your daughter is 2 months old already and is still having this severe of a problem, it may be better to move forward with surgical closure of the VSD and ASD.  You need to speak with your local cardiologist so that you can understand better what is happening with your daughter's heart.  If you are not able to get this understanding of her condition, you need to consider getting a second opinion quickly.
3 Comments
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Avatar_f_tn
My daughter was born with a large VSD and small ASD.

DO NOT stop those medications without direction of your doctor. Never, never, never. He gave those to her for a reason. Those are medications that need to be weaned gradually, NOT just stopped abruptly. Your doctor put her on those medications because she needs them to help her heart function. The aldactone is SUPPOSED to make her pee more, in combination with the Lasix, to help her body get rid of the excess fluid that is hard on her heart. The blue legs likely has something to do with her heart defect, likely the PHT, NOT the medication.

Small defects are likely to close on their own, but that said, your daughter is already suffering from PHT, which as far as I know, makes it more likely that she is going to require open heart surgery to repair her defects, as there is too much blood going through her pulmonary artery. This can cause irreversible (permanent) damage to her PA and lungs.

I'm not a doctor, just another heart mom, but please, for the sake of your daughter, do NOT stop any medications without first consulting her doctor, NEVER.

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Avatar_m_tn
Hi, Also get opinion with a pediatric cardiologist N ASK HIM/HER  about closing these defects with a device which also has very good chances of sucess and is lessn traumatic for your baby. So do not 4get to ask with you doctor. Also you can visit the following site and can get a good picture for other options also.
www.amplatzer.com.
Visit this site.
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