apollo
  • Male
  • 33 Years
  • 22/01/2025

I'm really worried about my 15-day-old baby's diagnosis of a hole in the heart, specifically VSD. It's strange that no scan picked it up earlier. The doctor mentioned waiting a couple of months, and if it doesn't close on its own, we might have to consider surgery. I'm really anxious about the future and the potential complications from surgery. Is there any alternative to surgery we should be considering? I'm looking for some guidance here.

Doctor 1

Answered by 1 Apollo Doctors

The advice is appropriate.As per the echo the location of this defect usually does not close by itself. However the size of defect is not considerable...we have to wait for a few months or years...keep reviewing symptoms and repeat echo and then decide about need and timing of surgery. Even surgery if needed in present times the outcomes are very good.So don't worry from now. For further clarification

Dr. Ranjith Suggests...

Consult a Paediatric Cardiologist

Answered 04/07/2025

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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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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.