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Suggest Treatment For Ventricular Septal Defect And Atrial Septal Defect In An Infant

Posted on Sat, 2 Apr 2016

Question: my son born with 6.5 VSD and 4 MM ASD,could you plz let me if these will close autometically??

Answered by Dr. Diptanshu Das (49 minutes later)

Brief Answer:
Will not close automatically. Needs surgical correction.

Detailed Answer:
Thannks for aksing on HealthcareMagic.

A VSD does not close on its own and needs surgical correction which is usually done after 6 months of age. Depending upon the type of ASD, some of them close completely while others do not and therefore require surgical correction sooner or later.

Let me know if I could help further.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Diptanshu Das (13 minutes later)

here i was consulted 2 doctors and they told these holes are very small and these will close automatically. but now you are telling surgery is required??

Answered by Dr. Diptanshu Das (19 minutes later)

Brief Answer:
Periodic followup with echocardiogram is required

Detailed Answer:
Thanks for writing back. It would not be helpful consulting doctor after doctor at this point of time. All they can do is to speculate. What really needs to be done is to follow up periodically with echocardiogram to assess the situation and its progress. The attached prescriptions mention dilatation of LA and LV which are a sequele of the volume overload due to ASD and VSD. The doctor has indicated the possibility of closure since it is perimembranous (which often close) whereas muscular VSDs are unlikely to close on their own.

I hope that I have been able to explain the situation.

Regards

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar