Thank you fo your help doctor , I sent to you last month a question about my nephew now he is 2 months old , weight=10 pounds, he is taking lopril + digoxin he has VSD peri membaranous + ASD 4mm
here is the last echodoppler result VSD=7mm, DAo=1,05 ( I think it is aortic dilatation, it"s writting in french)
VL 18 / 27 mm (velocity?) ejection fraction=63% Qp / Qs =2,3 (pulmnow debit / systhemic debit ?)
the pediatric cardiologist said that he does not need a surgery but the surgent said 80% of chances he will be schedule for surgery when he gain more weight (16 pounds at least) what do think doctor , this contradiction is bothering me and his parents , thank you.
The ventricular septal defect (VSD) measures 7 mm, which is still sizable. The descending aorta (DAo) measures 1.5 cm, so the VSD is half the size of the descending aorta. I'm not sure what the VL numbers are, but I can say that the Qp:Qs numbers obtained by echocardiography are notoriously inaccurate, and not helpful. That said, his defect will likely require surgical repair. In experienced hands, he should not have to wait until he is 16 pounds, though. A weight of 10 pounds (4.5 kg) should be more than adequate. As well, if he is having congestive heart failure symptoms, waiting till he gains more weight will actually put him at a disadvantage. He will be relatively undernourished and have gained mostly water weight, which will potentially make him a much higher surgical risk.
With respect to his chest X-ray (CXR), infants normally have a combined cardiac and thymic silhouette, so this is likely a normal finding. . It would be more helpful to know if he had increased pulmonary vascular markings on the CXR, as this would be more proof of too much recirculation of blood from the left to the right side of his heart.
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
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. Med Help International, Inc. 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.