Hello,I am from Bangladesh. My son has cardiology problem. At the age of 1 month 1week,we found through Echocardiography that "A small ASD 2degree is seen, size 2 mm with left to right shunt, restrictive. Tiny Patent Ductus Arterious (PDA) seen, size 1.2 mm with left right shunt, restrictive. Mild RPA origing stenosis noticed. PPG: 30 mmHg.RPA origin size 3.5 mm. Trivial TR noticed. PPG: 15 mmHg. Abnormal IVS motion. Intact IVS. No coarctation seen. No intracardiac mass or vegetation seen. Chamber dimensions normal. All valves and tracts are normal. No pericardial effusion is seen. Good biventricular function. " The doctor did not prescribe medicine but advised to follow up after 6 weeks.
The last Echo report at age of 3 months stated "A small ASD 2degree is seen, size 2.2 mm with left to right shunt, restrictive. Tiny Patent Ductus Arterious (PDA) seen, size 1.2 mm with left right shunt, restrictive. Mild RPA origing stenosis noticed. PPG: 17 mmHg.RPA origin size 4 mm. Trivial TR noticed. PPG: 10 mmHg. Abnormal IVS motion. Intact IVS. No coarctation seen. No intracardiac mass or vegetation seen. Chamber dimensions normal. All valves and tracts are normal. No pericardial effusion is seen. Good biventricular function." Now the doctor prescribed syrup Frusin-furesenide USP, KT-contains potassium chloride and advised to visit after 02 months from now.
Is the heart problem recoverable without surgery or with medicine? I heard often this cases solves automatically for infant, is it right? is there any improvement in my son's heart between this two reports?
Please provide your response, thanks.
There are several things going on in your son's heart at present. There is a small secundum atrial septal defect, which should not be causing any problems and should spontaneously resolve. There is a small patent ductus arteriosus which sounds as if it is also not causing any problems. It may resolve by age one year, but it may not. If either of these don't close, it is really not a problem. Finally, there is some mild stenosis, or obstruction, at the right pulmonary artery. The estimated pressure on the right side of the heart is low, which is quite encouraging. Without seeing your son, I cannot say what will happen to him, but it sounds like the right branch pulmonary artery is growing enough to give only limited stenosis without need for any kind of intervention.
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