Pediatric Heart Expert Forum
safe size of ASD and VSD
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safe size of ASD and VSD

Hello Doctor,

After the birth of my daughter before 4 days, doctor were taken for cardiac evaluation.  she was diagnosed with a muscular VSD shunting of 5.2 mm and a secundum ASD of 7.2 mm. The doctor said that they need to wait for one month. most of the cases hole will fill automatically. after one month they will check and will confirm that she need some medical intervention or not. so please tell what is recoverable size or safe size of VSD and ASD. and what type of cares are required for my baby.

Thanks & regards
Abhishek
Tags: safe size of ASD and VSD size
773655_tn?1340656399
A muscular VSD of 5 mm is moderate in size, but does have an excellent chance of getting smaller, and possibly closing completely, over time. A 7 mm ASD between the upper chambers is larger than a normal hole that babies are born with (usually 2-4 mm), but still could get smaller during the first 2 years of life.  As far as intervening, we usually don't consider closure of an ASD until 2 years of age or older in asymptomatic children, to give nature time to make it smaller on its own.  The VSD would only require an intervention if there was evidence that the pressure in the lungs was higher than normal after 3-6 months of age and the child had poor growth or other cardiac issues.  Your doctors should be able to tell you that based on future echocardiograms.  But in general, in a healthy growing child, we try count on nature and time to try to make these holes smaller.
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