apollo
  • Female
  • 27 Years
  • 29/01/2025

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?

Doctor 1

Answered by 1 Apollo Doctors

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.

Dr. Ranjith Suggests...

Consult a Paediatric Cardiologist

Answered 04/07/2025

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My 1-month-old baby boy was diagnosed with a malaligned PM VSD hole measuring 3.5 mm. Is this considered large in medical terms? I'm trying to understand how VSD sizes are classified like small, moderate, large, or very large based on the mm measurement. Also, will my son definitely need open heart surgery, or is there a chance it could close on its own over time? If surgery is necessary, are there any less invasive options than open heart surgery?

A 3.5 mm VSD is usually small and may close on its own. Most small VSDs don’t need surgery. Serial echocardiograms are important to monitor.

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Doctor 1Doctor 2

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I'm really worried about my three-year-old nephew who had open heart surgery on Tuesday for a block and a hole in his heart. He's been on a ventilator since then. Today, the doctors mentioned there is some bleeding, and now he's having seizures. They've also asked us to get an epicetam injection. Is this a common occurrence after such surgeries, or should we be more concerned? The surgery took place at PGIMER Chandigarh.

The bleeding and seizures your nephew is experiencing after open heart surgery could be due to various reasons, including the stress of the surgery, the use of blood thinners during the procedure, or underlying medical conditions. Epilectam injection is likely being prescribed to help control the seizures. It contains the active ingredient Levetiracetam. The usual dosage for children is based on their weight, typically around 20 mg per kg, given twice a day. It is important to follow the dosage instructions provided by the healthcare team at PGIMER Chandigarh. If you have any concerns or questions about your nephew's condition or treatment, please discuss them with the medical team caring for him at the hospital.

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Doctor 1Doctor 2

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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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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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.