- female
- 2 Years
- 14/08/2025
My 2-month-old preterm baby born at 35 weeks was diagnosed with a 6mm VSD, 3mm ASD, and moderate PDA, all left-to-right shunts. She weighs 3.5kg now and has no symptoms feeding well, gaining weight, and passing urine/stool normally. We've seen 23 pediatric cardiologists, and all recommend surgery but with different timelines some say immediately, others say before 6 months or until she's 1 year and 10kg. Since she's doing fine now, when would be the right time for surgery?
Answered by 1 Apollo Doctors
A detailed evaluation will help decide the best course of action.
Dr. Dhankecha Suggests...
Consult a Paediatric Cardiologist
Answered 14/08/2025
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More Paediatric Cardiology Health Queries
View allmy 55-day-old baby has been diagnosed with an 8mm vsd should we be considering surgery for this or is there another way to manage it
For a 55-day-old baby with an 8mm ventricular septal defect (VSD), the decision of whether to proceed with surgery or other management strategies depends on the baby's individual health status and the specific characteristics of the VSD. Surgery may be recommended if the VSD is causing significant symptoms, such as heart failure, or if the baby is not growing adequately, despite medical management. If the VSD is small and the baby is otherwise healthy, surgery might be delayed or even not needed, with regular follow-up and potentially medication to manage any symptoms.
Answered by 1 Apollo Doctors
My baby is just over 2 months old and he has a 6.5 mm mid muscular vsd with left to right gradient of 10 mmHg. I'm really worried because he's not gaining weight, he only weighs 3.3 kg right now and he was 2.200 gms at birth. His breathing seems really fast and during feedings, he takes lots of breaks. What should I do?
Based on the symptoms you described, your baby may benefit from medication to help with the symptoms of congestive heart failure and to support his heart function. One commonly used medication for this condition is Furosemide. The typical dosage for infants with congestive heart failure is 1-2 mgkg per dose, given 1-2 times per day. However, the exact dosage and frequency should be determined by your pediatrician based on your baby's specific needs. Additionally, your baby may also benefit from medication to help with weight gain. One option is Mirtazapine, which can stimulate appetite and promote weight gain in infants. The typical starting dose for infants is 15-30 micrograms per day, but this should be adjusted by your pediatrician based on your baby's response. It is important to consult with your pediatrician or a pediatric cardiologist for a thorough evaluation and to discuss the best treatment plan for your baby's specific condition. Regular monitoring and follow-up care are essential in managing congenital heart defects in infants.
Answered by 1 Apollo Doctors
I'm concerned about my 2-year-old. He has a heart murmur and is scheduled for a heart scan in a couple of months. I've noticed he gets nosebleeds every few months as well. Could the nosebleeds be connected to the murmur? Should I be worried about this combination of symptoms?
Nose bleeds and heart murmurs are not typically directly related. Nose bleeds in children can be caused by various factors such as dry air, allergies, or minor trauma. However, in some cases, certain heart conditions can lead to bleeding disorders which may manifest as nose bleeds. It is important to wait for the results of the heart scan to determine if there is any connection between the two issues. In the meantime, you can consult with a pediatrician to address the nose bleeds and monitor your child's symptoms.
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.