apollo
  • female
  • 9 Years
  • 29/01/2025

I'm really worried about my 9-day-old baby who weighs just 3kg right now. The doctors mentioned something about an 8mm ostium secundum ASD and a left to right shunt. Can you explain what this means for my baby? Does this require immediate treatment or monitoring? Is there a chance it could affect their growth or overall health? I've also noted their birth weight was 2.88kg. I'm hoping to understand this better, as I'm quite anxious.

Doctor 1

Answered by 1 Apollo Doctors

See a specialist for accurate diagnosis and targeted treatment.

Dr. Shubham Suggests...

Consult a Paediatric Cardiologist

Answered 25/07/2025

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I'm really worried about my baby girl. She's only 2 months old and was born preterm at 35 weeks. The doctors say she has a 6mm VSD, 3mm ASD, and moderate PDA, all left to right shunt. Her weight is 3.5kg right now. We've spoken to 23 pediatric cardiologists and they all recommend surgery, but were confused about the timing. Some say it should be done immediately, others suggest before she turns 6 months, or when she reaches 1 year and weighs about 10kg. Right now, she seems to be okayshe's gaining weight, feeding well, and has no symptoms related to the VSD. We just want to make the right decision for her. When would be the best time for the surgery?

In the case of your daughter with VSD, ASD, and PDA, the decision for surgical correction depends on various factors such as the size of the defects, the presence of symptoms, and the overall health of the baby. Since your daughter is currently asymptomatic and is gaining weight normally, the timing of the surgery can be a bit more flexible. Considering the moderate size of the defects and the left to right shunt, it is generally recommended to wait until the baby is a bit older and bigger before considering surgery. Most pediatric cardiologists suggest performing the surgery before the baby reaches 1 year of age or weighs around 10kg. This allows for the baby to grow and develop, making the surgery safer and potentially reducing the risk of complications. It is important to continue monitoring your daughter closely for any signs of distress or worsening symptoms. Regular follow-ups with the pediatric cardiologist are crucial to track the progress of the defects and determine the optimal timing for the surgical correction.

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Doctor 1Doctor 2

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My 1-month-old son was diagnosed with VSD and ASD. The report says he might need surgery or a device closure. Should we act on this right away or is it okay to wait a bit longer? What signs should we watch for if it gets worse?

If baby’s weight gain and oxygen levels are normal, wait; act if breathing, feeding, or heart symptoms worsen.

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I'm able to feel my son's heartbeat just by placing my hand on his chest. He's 3 years old and usually very active, but we don't notice this with anyone else in our family, not even our 8-month-old daughter. Should we be concerned about this?

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