Pediatric Heart Expert Forum
congenital heart defect
About This Forum:

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.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

congenital heart defect

my nephew now he is 2 months old , weight=10 pounds, he has VSD peri membaranous + ASD 4mm
he is taking  lopril +  digoxin


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.
Related Discussions
773655_tn?1340656399
A 7 mm defect would be considered a large ventricular septal defect.  I am sure this is why the child was placed on cardiac medications.  A Qp:Qs ratio of 2.3 indicates a large shunt.  I do not understand the rest of the numbers you report.  The indications for surgery are elevated pressures in the lungs and/or failing to thrive.  Since the child appears to be growing the cardiologist is giving him time to prove whether or not the hole can get smaller in the next couple of months.  The surgeon is saying that this hole has a strong likelihood of needing to be fixed in the future. In this situation time, and serial assessment of the hole and the the child's growth will guide the timing for surgery.
2 Comments
Blank
Avatar_f_tn
I'm not a surgeon, but a 7mm VSD in a baby that small is definitely a moderate size. How big was he when he was born? Has he been having any signs of heart failure? My daughter was born with a large VSD and a small ASD. She is having open heart surgery next week to repair both defects. She will be 4 months old, and 11 lbs.
Blank
Continue discussion Blank
This Forum's Experts
773637_tn?1327450515
Jeffrey R Boris, M.D.Blank
The Children’s Hospital of Philadelphia
Philadelphia, PA
773655_tn?1340656399
Marie M Gleason, M.D.Blank
The Children’s Hospital of Philadelphia
Philadelphia, PA
Blank
Request an Appointment
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
242532_tn?1269553979
Blank
3 Reasons Why You are Still Binge E...
Jul 14 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating: What Your Closet ...
Jul 09 by Roger Gould, M.D.Blank