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

My 98-day-old baby girl had a 3.2mm PDA heart hole and got treated without open surgery. Will this cause any health issues for her in the future?

Doctor 1

Answered by 1 Apollo Doctors

Primary surgical closure of PDA exceeding 2.0 mm in infants weighing less than 1,500 g should be considered to reduce mortality and long-term morbidity events including BPD.

Dr. Kamran Suggests...

Consult a Paediatric Cardiologist

Answered 14/08/2025

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I'm really worried about my newborn baby boy's health. His report mentions a small perimembranous VSD, mild pulmonary stenosis, and a small residual PDA. Can someone explain what these mean? Are these issues something he'll outgrow, or will they need ongoing treatment? I'm looking for more information on how serious these are and what the next steps should be. Would really appreciate some guidance.

Your newborn's report indicates three congenital heart conditions: a small perimembranous ventricular septal defect (VSD), mild pulmonary stenosis, and a small residual patent ductus arteriosus (PDA). A small VSD is a hole in the heart's septum that can sometimes close on its own but needs monitoring. Mild pulmonary stenosis is a narrowing near the pulmonary valve that restricts blood flow to the lungs and often requires regular follow-up. A small residual PDA is an open vessel that normally closes after birth; it may close on its own or require medical management. The treatment plan will depend on how these conditions affect your child's health, and regular follow-ups with a pediatric cardiologist are essential to monitor and manage them. Discuss these findings with your child's cardiologist to understand the prognosis and specific treatment options.

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Doctor 1Doctor 2

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.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

My one-year-old has a heart condition with a hole, about 104 mm in size. He weighs 7 kg, but his birth weight was 2 kg, and I'm worried because it seems like he's not gaining weight as he should for his age. Can you help me understand what's going on and what we can do about it?

Based on the information provided, it seems like your child has a congenital heart defect with a hole in the heart. In this case, the treatment usually involves medications to manage symptoms and sometimes surgical intervention may be necessary. One common medication used to manage heart conditions in children is **Digoxin**. The usual dosage for a child with a heart condition is 20-35 micrograms per kg per day, divided into 3 doses. It is important to consult with a pediatric cardiologist for a proper evaluation and treatment plan tailored to your child's specific condition. Regular follow-up visits are crucial to monitor your child's growth and heart health.

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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.