I have 20 days old baby,doctor were taken for cardiac evalution. He was diagnosed with a 6mm large posterior muscular VSD with 3mm small mid muscular VSD and other small VSD with left to right shunt. There is a 7mm moderat sized ostium secundun ASD with left to right shunt.The pricardium is normal. There is no PFO,pericadial effusion and no clot or vegentation seen.There is no pulmonary hypertension and no tricuspid regurgitation and no coarctation of aorta.Good LV systolic function EF=60%. The gradient across VSD 23mmHg. No PDA or coarctation.The doctor said that they need to wait of 6 month most of the hole will fill automatically .Sir he need some medical intervention or not. what is recoverable size of VSD and ASD. If not fill automatically what type of surgery required.His weight is now 3.8 kg and no symptoms is looking in baby.
Since your baby is only 20 days old, it is too soon to know if surgery will be required. A 6 mm posterior muscular VSD is moderate to large in size, so in the next month or so there could be signs of too much blood flow going across the VSD and out to the lungs: symptoms like breathing fast, not feeding well or not gaining weight well. If the VSDs are truly muscular types, they can decrease in size over time. The decision to do surgery in this case requires watching the baby's feeding and growth and rechecking to see if the VSD is getting smaller by echo. So this should be checked again by the cardiologist between 3 and 6 months of age. If the baby starts to develop the signs I mentioned, the doctor may decide to use a diuretic medication to help relieve the symptoms and give the baby more time to grow and see if the VSDs can get smaller on their own. Surgery is reserved for children who are failing to thrive, or have high pressure in the lungs. The doctor will be able to tell you about the lung pressure from examination and the echocardiogram. Good luck.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
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. MedHelp 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.