Baby with ASD and VSD

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Submitted by Dr T on April 1, 2013 – 3:19pm

Question: 
The report of the baby says “Situs solitus samll muscular vsd with l>r shunt?small secundum asd with l.r shunt[pfo] no evidence of pda, coa, normal valves, good lv/rv function. Sex: Male. As of now baby is suffering from Jaundice and some infection. I am not from science background which limits me to explain things in detail. Please advice us on the course of treatment, when it should be done.
 

It means: normal position of the heart, with small openings (the VSD and ASD defects) connecting the right side of the heart with the left side (these normally stop communicating shortly after birth). Another way of explaining:

A ventricular septal defect, or VSD, is a hole in the wall (septum) between the lower pumping chambers (ventricles) of the heart. VSD is the most common congenital (present at birth) heart defect. VSDs are generally found in infancy. 

An ASD is similar but between the upper two chambers of the heart. If severe an operation may be needed to correct the defects.

Read more here:

The following pages are meant for medical students and may be too technical, but take a look anyway:

However, in your son’s case it is likely nothing needs to be done and the openings will close spontaneously with time. He will need to be followed with echocardiograms till that has been confirmed. 

Hope he gets better soon,

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