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What Are The Chances Of Hole In Heart Getting Close Spotaneously?

Posted on Wed, 26 Mar 2014

Question: XXXX is 2 yrs and a month old boy born on 10 XXXXXXX 2012 is very healthy and actively child with good apeitite. we got to know about ASD when he was 5 months old. We did his first 2D Echo on 29 May 2012 and Doc has advised that we will have to monitor the situation through the yearly followup and most probably he may not have to go for any surgical intervention as the size of the hole is small. And same was told to us at the time of 2nd followup on 16 Feb 2013. This month doc has advice us after the 2D Echo that the size of the hole has slightly reduced and looking at his normal growth the size hole has not significant to his heart and dont think he will require any surgical intervention. Doc has called us after 2 yrs for the followup now. What are the chance of this hole getting close spotaneously.

Answered by Dr. Raju A.T (2 days later)

Brief Answer: 80% Detailed Answer: Hi, Thanks for your query. Since its the growing heart and the hole is in atrial septum which is made mostly of fibrous tissue the chances of the spontaneous closure is around 80%. Need not worry, there would be no need for surgery, as practically more than 80% go for spontaneous closure. Also its an acyanotic state which will have no complications. Wish you good health. regards,

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

Follow up: Dr. Raju A.T (18 days later)

Dr XXXXXXX I am sorry could no close the review but thanks for answering the question. Dr just wanted to know what is acyanotic state which will have no complications. Thanks and Regards,

Answered by Dr. Raju A.T (14 hours later)

Brief Answer: Impure and pure blood not mixing Detailed Answer: Hi, Thanks for writing back. Cyanotic means is a condition where in the impure blood (deoxygenated) mixes with the pure blood (oxygenated). This reduces the ability of the blood to carry required amount of the oxygen to the tissues. Acyanotic means there is no mixture of pure and impure blood. Hence, there is no defect in oxygen transportation. Regards,

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