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?

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Dr Ranjith Darla

General Practitioner

MBBS
3+ Yrs

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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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Answered 04/07/2025

More Paediatric Cardiology Health Queries

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My 1-month-old son was diagnosed with VSD and ASD. The report says he might need surgery or a device closure. Should we act on this right away or is it okay to wait a bit longer? What signs should we watch for if it gets worse?

If baby‚Äôs weight gain and oxygen levels are normal, wait; act if breathing, feeding, or heart symptoms worsen.

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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‚Äôt need surgery. Serial echocardiograms are important to monitor.

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My newborn baby was born at 34 weeks and has a 5mm VSD. She only weighs 900g right now. Will the hole close on its own as she grows or will she need surgery? If surgery is needed, what's a rough estimate of the cost?

cardiologist opinion is advised.

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.