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moderate VSD with aortic cusp prolapse

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Posted 3/7/2007 7:15 PM (GMT -8)

Hi,

I have a 5 9/12 yrs old son. He was diagnosed to have Ventricular Septal Defect at birth measuring 2.5mm at that time. He was not recommended for any cardio meds for maintenance. He was born 8 months old and 4 lbs. He has no signs of cyanosis, easily fatigue, shortness of breath. Since he was born he has several recurrent upper respiratory tract infections.

His echocardiogram revealed however last year 2006 that his hole have increase in size to .35cm (small VSD) and with minimal aortic cusp prolapse to VSD but AR, left to right shunt wiht SPG of 102mmhg. This result have alarmed me that the hole will no longer have the chance to close eventually. But then the cardiologist required regular check ups.

This February 2007, his echocardiogram showed the following:

Measuarements:

  • LA-2.56
  • AO-2.33
  • IVS thickness-0.81/0.72
  • VSD-0.63/0.48/0.54
  • LVED-3.66
  • LVES-2.29
  • ejection fraction- 85%
  • fractional shortening-%
  • posterior wall thickness-0.72/0.80
  • VSD gradient-41mmhg

Conclusion:

  • Subaortic ventricular septal defect, 0.48-0.68cm with SPG of 41mmg
  • intact atrial septum
  • prolapse of aortic cusp
  • no aortic regurgitation
  • mild left ventricular enlargement
  • no RVOT/LVOT obstruction
  • normal aortic arch/pulmonary artery
  • no coarctation of aorta

Conclusion:

  • Moderate VSD with aortic cusp prolapse
  • mild left enlargement
  • no AR

His Cardiologist has recommended a surgical closure of the VSD to prevent further complications since the hole will no longer close.

Questions;

  • What is the operation (procedure) that is recommended?
  • What is the surgeon's experience with this procedure?
  • What is the reason that this procedure is necessary at this time?
  • What are the options if this procedure is not done?
  • What is the anticipated outcome of the procedure?
  • What kind of anesthesia is required for the procedure?
  • What are the specific risks that this procedure involves?
  • What about a second opinion?
  • What is the recovery process after this procedure?

Would appreciate any valuable opinions/views to lighten up the burden regarding this heart disease.

Many thanks.

mommy eden confused

Posted 3/8/2007 8:55 AM (GMT -8)

Hi edendumas, I am sorry for what your son and you are going through.  I also have a ventricular septal defect that was from birth but (apparently) not found until I was 31 yrs old when I became sick and ended up diagnosed with an autonomic disorder.  My cardiologist decided not to close the hole and just keep watch on it as long as I dont take birth control pills and not smoke.  I also have bradycardia which I received a pacemaker for.

You have asked some really good questions here but these really are questions that you should be asking to his physicians.  A second opinion is always a good idea especially if surgery is indicated and his cardiologist most likely has consulted with another physician on his findings, you may want to check into that.  I hope that someone here has had this surgery and can share their experiences with you regarding this.  Please do post again and let us know how he is doing.  Healing Well is a great place for information and support...take care

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