- female
- 2 Years
- 29/01/2025
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?
Answered by 1 Apollo Doctors
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.
Dr. Dhankecha Suggests...
Consult a Paediatric Cardiologist
Answered 04/07/2025
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More Paediatric Cardiology Health Queries
View allMy son was born in September 2018 and is now 3 years 2 months old. In May 2021, we found out he has an 8mm hole in his heart, and it still hasn't closed as per his September report. We're worried if it will close on its own or if he needs surgery. Could this affect his health or life in the long run? What should we do next?
An 8mm hole in the heart, especially at this age, is unlikely to close spontaneously and may require intervention. While not all holes in the heart need surgery, larger ones like 8mm typically do. This can affect the child's heart health in the long run, potentially leading to complications like heart failure or arrhythmias. The next step is to consult with a cardiologist for a detailed assessment and discuss treatment options, which may include surgery or a catheter procedure.
Answered by 1 Apollo Doctors
How much does VSD surgery cost and how long does the procedure usually take Also what's the success rate for this kind of surgery
cost depends on dr and hospital.
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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