apprx 3.4 mm size restrictive mid muscular VSD, left to right shunt. PG of 28.0mm of Hg across VSD indicative of mild pulmonary hypertension. a apprx 4.8 mm size ostium secundum ASD, left to right shunt. enlargement of RA and RV. at the time of birth he was 4.5 kg body weight
after one year we again diagnosed him and it shows
small central muscular VSD 3 mm, small left to right shunt, peak systolic gradient 70 mm Hg. No ASD. normal LV systolic function (EF 62%), no other abnormality.
presently he is 1 yr 1 month old 10.5 kg of body weight, active, showing normal growth
do you think that VSD will fill on its own or it would require operation. upto what stage should we wait, if operation is required. any precautions/ suggestion
Based on the information you have given me, I cannot say whether the defect will spontaneously resolve, or not. However, I can say that it appears to be what we call hemodynamically restrictive, which means that it is letting only a limited amount of blood cross the defect and does not seem to be causing any problems. There are numerous children who have small VSDs who grow up with them remaining open and have normal lives and lifespans. They don't necessarily need to be surgically closed. I will recommend, though, good dental hygiene (teeth brushing, routine dental cleanings), as this will lower the risk of endocarditis, a serious infection of the heart. Indications for closing the defect would include worsening symptoms of heart failure, such as easily getting out of breath or sweating with activity, or having endocarditis. Based on the size of the defect as you describe it, the former is not likely to happen and the latter has a low overall chance of happening.
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.