- male
- 1 Years
- 07/02/2025
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
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
Answered 04/07/2025
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More Paediatric Cardiology Health Queries
View allI'm really worried about my daughter. She fainted while running and we just found out she has a hole in her heart. I'm wondering, what kind of treatment options are out there for this sort of thing? Do you think homoeopathy could actually help since it's supposed to treat many surgical cases? Or will she definitely need surgery to fix it?
The treatment options for a hole in the heart, also known as atrial septal defect (ASD) or ventricular septal defect (VSD), depend on the size of the hole and the symptoms it is causing. In many cases, especially if the hole is small and not causing significant symptoms, no treatment may be necessary as the hole may close on its own over time. However, if the hole is large or causing symptoms such as shortness of breath, fatigue, or recurrent respiratory infections, treatment may be needed. Surgery is often required to repair a significant hole in the heart. The surgical procedure involves closing the hole with a patch or stitches to prevent blood from flowing abnormally between the heart chambers. In some cases, a minimally invasive procedure called cardiac catheterization may be performed to close the hole using a device inserted through a blood vessel. While homoeopathy may help manage symptoms associated with a hole in the heart, it is not considered a primary treatment for structural heart defects like ASD or VSD. It is important to consult with a cardiologist or pediatric cardiologist to determine the most appropriate treatment plan for your daughter's condition.
Answered by 1 Apollo Doctors
My 2-month-old preterm baby born at 35 weeks was diagnosed with a 6mm VSD, 3mm ASD, and moderate PDA, all left-to-right shunts. She weighs 3.5kg now and has no symptoms feeding well, gaining weight, and passing urine/stool normally. We've seen 23 pediatric cardiologists, and all recommend surgery but with different timelines some say immediately, others say before 6 months or until she's 1 year and 10kg. Since she's doing fine now, when would be the right time for surgery?
A detailed evaluation will help decide the best course of action.
Answered by 1 Apollo Doctors
I'm really worried about my daughter who's 81 days old. She has a PDA of 3.2mm as per her recent echo report, but last month it was 3.7mm. Her breathing isn't normal during feeding times. Do you think the PDA can close on its own, or should we be considering surgery? If surgery is needed, are there any long-term health issues we should be concerned about? I'd really appreciate some guidance on this.
considering the improvement from 3.7mm in the previous month, the decision for closure can be made based on various factors such as symptoms and overall health condition. If the breathing condition is abnormal during feeding, it may indicate the need for intervention. If surgical closure is recommended, it is generally a safe procedure with low risk. Some potential complications after PDA closure surgery may include infection, bleeding, or rare instances of residual shunting. However, the benefits of closing a significant PDA usually outweigh the risks. One commonly prescribed medication post-PDA closure surgery is Ibuprofen at a dosage of 10 mgkgdose every 6 hours for 3 doses, followed by 5 mgkgdose every 6 hours for 48 hours. This helps in reducing inflammation and promoting closure of the ductus arteriosus. It is important to follow up with your pediatric cardiologist for regular check-ups and monitoring to ensure proper healing and development. If you notice any concerning symptoms or changes in your daughter's health, do not hesitate to seek medical attention.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.