apollo
  • 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.

Doctor 1

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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My baby is just 5 days old and the doctors found a 4mm VSD. I'm really worried and I need to know if it'll heal on its own or if surgery is necessary. Can you please help me understand what we should do?

In infants, small ventricular septal defects (VSD) like the 4mm VSD detected in your baby can often close on their own without the need for surgery. Regular monitoring by a pediatrician is important to track the size of the defect and ensure proper management. In some cases, medication such as Lasix may be prescribed to manage symptoms. However, if the VSD does not close on its own and causes significant symptoms or complications, surgical intervention may be considered. It is important to follow up with your pediatrician for further evaluation and management

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I'm really worried because my fourth baby was found to have a small hole in the heart during an echo test done by a baby heart specialist. He said there's no need for medication right now and just advised a follow-up in six months. Does this mean it could be serious? Will this affect my baby's life in the future? What kind of care should we be giving our baby, and are there any treatments we should consider?

It sounds like your baby has been diagnosed with a small hole in the heart, also known as a ventricular septal defect (VSD). In many cases, small VSDs can close on their own as the child grows. It is important to follow up with the baby heart specialist as recommended. In the meantime, you can ensure your baby receives proper nutrition and regular check-ups. It is important to monitor your baby for any signs of respiratory distress, poor feeding, or failure to thrive. If the VSD does not close on its own and causes symptoms, the specialist may recommend surgical intervention. However, in many cases, no treatment is necessary and the hole may close on its own over time. Remember to follow the specialist's advice and attend all follow-up appointments for monitoring the VSD.

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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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