Pediatric Heart Expert Forum
what is chance of closure of 3.5mm VSD?
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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.

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what is chance of closure of 3.5mm VSD?

Hello Doctor,

My daughter was dignosed VSD by birth and the size was 3.4mm when she was just 3 days old and after a year i got the  test done  the size was 3.5mm.Can you let me know how much time it will take to close or what will the medical problem she can face in future due to this hole in her heart. Now she is 2year pluse and healthwise she is good .
but some time she doest behave properly as she is very irritating not allowing any one to touch her and cry loudly .

So is it related to her problem by birth can you suggest me what i should do.
Tags: VSD
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From your description, your healthy 2 year old daughter has a small ventricular septal defect (VSD).  Most often these holes between the lower heart chambers get smaller on their own over the course of months or years, and may even close completely.  A dimension of 3.5 mm would not be likely to cause excessive flow of blood to the lungs or make extra work for the heart, if this is the only congenital heart abnormality present.  Some people never outgrow the VSD, but a small hole does not impact on physical activity, sports participation or ability to reproduce.  Children with VSDs do require intermittent cardiac follow up, depending upon the location of the VSD.  When the VSD is close to other heart valves, there can be complications as nature attempts to close the hole.  These include prolapse of the aortic valve cusp that results in valve leakge, or developement of obstructions to the right or left outflow tracts of the heart. The behavior issues that you describe do not sound related to her cardiac status, and may be more developmental in nature.
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Jeffrey R Boris, M.D.Blank
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