Question 1

I'm really worried about my newborn baby boy's health. His report mentions a small perimembranous VSD, mild pulmonary stenosis, and a small residual PDA. Can someone explain what these mean? Are these issues something he'll outgrow, or will they need ongoing treatment? I'm looking for more information on how serious these are and what the next steps should be. Would really appreciate some guidance.

Accepted Answer

Your newborn's report indicates three congenital heart conditions: a small perimembranous ventricular septal defect (VSD), mild pulmonary stenosis, and a small residual patent ductus arteriosus (PDA). A small VSD is a hole in the heart's septum that can sometimes close on its own but needs monitoring. Mild pulmonary stenosis is a narrowing near the pulmonary valve that restricts blood flow to the lungs and often requires regular follow-up. A small residual PDA is an open vessel that normally closes after birth; it may close on its own or require medical management. The treatment plan will depend on how these conditions affect your child's health, and regular follow-ups with a pediatric cardiologist are essential to monitor and manage them. Discuss these findings with your child's cardiologist to understand the prognosis and specific treatment options.

Question 2

I'm really concerned about my 6-month-old who's been diagnosed with an 8 mm ostium secundum ASD and a left to right shunt. What kind of treatment options are available for this, and what might the costs be? Are there hospitals in Kerala known for handling such cases? I'm kind of unsure how serious this is and what our next steps should be.

Accepted Answer

the primary approach is usually observation and monitoring, as many small ASDs close on their own over time. However, if the ASD is large or causing symptoms, it may require intervention. In such cases, the surgical closure of the ASD may be recommended. One common medication used before surgery to manage symptoms and prevent complications is Furosemide. The typical dosage for a 6-month-old would be around 1-2 mgkg per dose, given 1-2 times per day. For the surgical closure of the ASD, hospitals in Kerala that specialize in pediatric cardiology and cardiac surgery can provide the necessary treatment. Some renowned hospitals in Kerala known for their pediatric cardiac care include AIMS (Amrita Institute of Medical Sciences), Sree Chitra Tirunal Institute for Medical Sciences and Technology, and Aster Medcity. As for the cost, it can vary depending on the hospital, the specific treatment plan, and any additional complications. It is best to directly contact the hospitals mentioned above and inquire about the cost estimation for the surgical closure of an 8 mm ostium secondum ASD in a 6-month-old child.

Question 3

Are kids born of diabetic mothers at heart risk?

Accepted Answer

Pregnant women with elevated blood sugar levels may increase the risk of blood vessel dysfunction and congenital heart defects in the child

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

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Are kids born of diabetic mothers at heart risk?

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