- female
- 40 Years
- 14/08/2025
My daughter is 40 days old and was diagnosed with a single large VSD leading to a single ventricle, severe PAH, and normally related great arteries. The pulmonary artery is dilated from the right side of the ventricle and unrestricted, with mild AR and moderate left AVVR plus mild right AVVR. The doctor said it's very complex and critical, recommending multistage palliation. Are there any alternative surgeries instead of multiple operations? It's so overwhelming to think about her going through so many procedures.
Answered by 1 Apollo Doctors
It is understandable that you are overwhelmed by the prospect of multiple surgeries for your 40-day-old daughter. While the situation is complex and requires multistage palliation, there may be some alternative approaches to consider, such as interventional catheterization for certain aspects of her condition. However, the final decision should be made in consultation with her cardiologist and cardiac surgeon, taking into account the specifics of her anatomy and physiology.
Dr. Kamran Suggests...
Consult a Paediatric Cardiologist
Answered 14/08/2025
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View allI'm really worried about my baby boy who has been diagnosed with a PM VSD hole that's 3.5 mm. Is this considered a big issue or not? I'm trying to understand how these measurements are categorizedis 3.5 mm small, moderate, large, or very large? Also, does this mean he'll need open heart surgery for sure, or could it close on its own as he grows? If surgery ends up being necessary, are there options other than open heart surgery that are less invasive? Would love some guidance on this.
Information provided is no adequate to answer,ideally if it is causing any cyanotic spells or pulmonary edema or PAH then Surgical correction is required which is not always open heart syurgery,if there are no such symptoms,repeat 2D echo after 6 months and check the status
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I'm really concerned about my baby who's now 4.5 months old. Right now, she has a 2mm PDA. When she was just 9 days old, she suffered from a blood lung infection and had three seizure attacks with a fever of 104.5 within two days. She's active, feeding well, and her weight is going up normally. I'm worried and wonder if it's really necessary for her to undergo closure when she turns 6 months?
After reviewing the information provided, it is important to monitor the baby closely for any symptoms or complications related to the PDA. In some cases, if the PDA is small and not causing any symptoms, it may not require immediate closure. However, it is best to consult with a pediatric cardiologist for a thorough evaluation and personalized treatment plan. If closure is recommended, medications such as Ibuprofen or Indomethacin may be prescribed to help close the PDA. The dosage and duration of treatment will be determined by the pediatric cardiologist based on the baby's specific condition. Regular follow-up appointments are essential to monitor the baby's progress and ensure optimal health.
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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.
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.