apollo
  • female
  • 55 Years
  • 14/08/2025

my 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

Doctor 1

Answered by 1 Apollo Doctors

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.

Dr. Kamran Suggests...

Consult a Paediatric Cardiologist

Answered 14/08/2025

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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.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'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.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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

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