I'm really worried about my baby boy who has been diagnosed with a PM VSD hole that's 3.5 mm. Is this considered a big issue or not? I'm trying to understand how these measurements are categorizedis 3.5 mm small, moderate, large, or very large? Also, does this mean he'll need open heart surgery for sure, or could it close on its own as he grows? If surgery ends up being necessary, are there options other than open heart surgery that are less invasive? Would love some guidance on this.

Answered by 1 Apollo Doctors

Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

Consult Now

Information provided is no adequate to answer,ideally if it is causing any cyanotic spells or pulmonary edema or PAH then Surgical correction is required which is not always open heart syurgery,if there are no such symptoms,repeat 2D echo after 6 months and check the status

Dr. Ranjith Suggests...

Consult a Paediatric Cardiologist

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Answered 04/07/2025

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My baby is 4 months old and was born with pulmonary atresia and VSD. They already had a BT shunt surgery on the right side, but now the doctor says two more open heart surgeries will be needed at 4 and 14 years for pulmonary artery and VSD correction. Is there any other solution or a way to fix everything in just one operation instead of two?

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