My daughter was born 8 weeks early and at about 3 weeks old, GA about 35 weeks, she underwent an cardiac echo for frequent episodes of bradycardia during feeding. At that time she was diagnosed with a ostium primum, according ro her medical records although I don't remember the doctor using those words (she mostly talked about a hole in her heartremaining from fetal cardiac anatomy). I was told that most of the premies in the nursery probably had the same defect and it would probably correct itself. Once I read the diagnosis I did some research everything indicated that ostium secondum might self correct but not ostium primum. What am I missing? At 5 months old she had an ECG which was "normal" -whatever that means- and presents no systems that I know of. The pediatric cardiologist that I saw didn't think that her condition warranted a second echo because, she said, at her age that would involve sedating her. Her next appointment is at age 18 months. I've read differing opinions on when to take corrective measures if they're necessary. What should I be doing for her?
What you post and what you were told do not coincide. You ask about an ostium primum defect, with is one of the types of holes in the septum between the upper two chambers of the heart. These do not spontaneously close, and typically require surgical repair. However, what you describe as being told sounds more like a foramen ovale, which is a flap valve that all babies have in utero. It typically closes some time before the first year, although 25% of all adults have it open. Therefore, it is difficult for me to know what your daughter has, and without seeing her, I cannot answer your question with regards to her specific needs. The good news is that if it is either, the primum defect is usually closed some time before age 3-5 years, so as long as she is not having symptoms of exercise intolerance, getting out of breath sooner than other kids, or sweating with activity before other kids, nothing needs to be done at this point until her follow-up. It does sound like you need to talk with your cardiologist to get further clarification of what your daughter's situation is.
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.