Ventricular Septal Defect In a 7 months old girl,6.4 kgs Management

Moderate Size Perimembranous VSD Left to right.VSD Max PG 45 mm Hg. Dilated LA , LV  Normal Ventricular Function.No change in Size from last echo 3 months ago.Levocardia.Abdomnal (abdominal) Situs Solitus.Atrial Situs Solitus.Great Vessels Normal.Ventricular Concordance...Venous, Atria, Atrio Ventricular Canal All Normal.All other parameters normal
LVIDDd 3.2, LVIDs 2.1, Aorta 1.0 cm, Atrium 1.4 cm
                    Management Please at this stage

[Jeffrey R Boris, M.D.]

Dear Bijay,

Without evaluating this girl, I cannot say what the management needs to be.  I do not treat echocardiogram reports, as it is not enough information to be able to be truly helpful.  It appears that there is some volume loading but that the defect is somewhat restrictive.  That is all I can say about it.