Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
138 Doctors are Online

Child diagnosed with atrial septal defect. gaining weight. Surgery needed?

User rating for this question
Very Good
Answered by
Practicing since : 1966
Answered : 4506 Questions
Question
HELLO SIR, MY DAUGHTER HAS BEEN DIAGNOSED WITH AN ATRIAL SEPTAL DEFECT 8 MM SIZE.IT WAS IDENTIFIED AT THE AGE OF 1 AND HALF MONTH. HER AGE IS SIX MONTHS NOW AND COMPLETELY ASYMPTOMATIC WITH WEIGHT GAIN DOUBLE HER BIRTH WEIGHT. RIGHT NOW 2D ECHO REPORT SHOWS DILATED RA AND RV WHICH WAS NOT THERE IN THE FIRST CHECKUP. WE WANTED TO KNOW WHAT SHOULD BE THE PLAN OF CARE AND ROLE OF SURGERY
Posted Thu, 7 Mar 2013 in Child Health
 
 
Answered by Dr. Anantharamakrishnan 4 hours later
Hi friend,
Welcome to Health Care Magic

The best option will be to get the defect closed.
It is highly possible to close without operation - through catheter.
[Over a period of time (long), the right ventricle volume overload may lead to Pulmonary Hypertension]
Discuss with your cardiologist (Paediatric Cardiologist / Invasive)      

Take care
Wishing speedy recovery
God bless
Good luck
Above answer was peer-reviewed by
 
Follow-up: Child diagnosed with atrial septal defect. gaining weight. Surgery needed? 2 hours later
Hello sir... thank u 4 answering our question... how long can we wait before going for surgery.? as v have heard that spontaneous closure occurs by 1 year.. so, should we wait for another 6 months ? how will we know if pulmonary hypertension is developing ?
 
 
Answered by Dr. Anantharamakrishnan 2 hours later
Hi,

ASD is small and is less likely to get worse quickly.
Many patients have crossed adolescence without problems..
But in the long term, closure prevents progress and complication.

technique - by the Echocardiogram. It is not possible to predict by clinical examination.
Check again in a month. If there is a rising trend, go for closure. If stable, repeat after 2 or 3 months.     
Most likely, surgery may not be necessary / catheter closure is likely feasible

Regards
Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to

The user accepted the expert's answer

Ask a Pediatrician

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor