- Female
- 1 Years
- 07/02/2025
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.
Answered by 1 Apollo Doctors
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.
Dr. Anshul Suggests...
Consult a Paediatric Cardiologist
Answered 04/07/2025
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View allI'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.
Answered by 1 Apollo Doctors
I'm worried because I've just found out that there's a small hole in my baby's heart during the third trimester. Is this something normal or should I be concerned? What steps should I take or what should I be prepared for?
In the 3rd trimester, a small hole in the baby's heart can sometimes be detected. This is known as a ventricular septal defect (VSD). In most cases, small VSDs close on their own without any treatment. However, it is important to follow up with your healthcare provider for monitoring. If the VSD is large or causing symptoms, medication such as Digoxin may be prescribed to help the heart work more efficiently. In rare cases, surgery may be needed to repair the hole. The dosage and duration of medication will be determined by your healthcare provider based on the specific situation.
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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.
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
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.