apollo
  • male
  • 4 Years
  • 14/08/2025

My baby is 4 months old and was born with pulmonary atresia and VSD. They already had a BT shunt surgery on the right side, but now the doctor says two more open heart surgeries will be needed at 4 and 14 years for pulmonary artery and VSD correction. Is there any other solution or a way to fix everything in just one operation instead of two?

Doctor 1

Answered by 1 Apollo Doctors

cardiologist opinion is advised.

Dr. Dhankecha Suggests...

Consult a Paediatric Cardiologist

Answered 14/08/2025

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My 80-day-old baby girl has a 3.2mm PDA heart hole. Will this heal on its own with medicine, or does she need surgery? What are the chances of it closing naturally?

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I'm really worried about my baby girl. She's only 2 months old and was born preterm at 35 weeks. The doctors say she has a 6mm VSD, 3mm ASD, and moderate PDA, all left to right shunt. Her weight is 3.5kg right now. We've spoken to 23 pediatric cardiologists and they all recommend surgery, but were confused about the timing. Some say it should be done immediately, others suggest before she turns 6 months, or when she reaches 1 year and weighs about 10kg. Right now, she seems to be okayshe's gaining weight, feeding well, and has no symptoms related to the VSD. We just want to make the right decision for her. When would be the best time for the surgery?

In the case of your daughter with VSD, ASD, and PDA, the decision for surgical correction depends on various factors such as the size of the defects, the presence of symptoms, and the overall health of the baby. Since your daughter is currently asymptomatic and is gaining weight normally, the timing of the surgery can be a bit more flexible. Considering the moderate size of the defects and the left to right shunt, it is generally recommended to wait until the baby is a bit older and bigger before considering surgery. Most pediatric cardiologists suggest performing the surgery before the baby reaches 1 year of age or weighs around 10kg. This allows for the baby to grow and develop, making the surgery safer and potentially reducing the risk of complications. It is important to continue monitoring your daughter closely for any signs of distress or worsening symptoms. Regular follow-ups with the pediatric cardiologist are crucial to track the progress of the defects and determine the optimal timing for the surgical correction.

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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

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