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| SPECIALIST ANSWERS
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Question |
10 years old female with small vsd (4mm) healthy .your advaice to follow her thanks.
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Answer |
Type of VSD/Gradient /Any Regurgitation/? Asymptomatic On medications details????
Small Perimembranous VSD - Both abroad & in India the general consensus is wait and defer surgery/ intervention. Close monitoring essential for aortic valve prolapse, RV infundibular obstruction and parents emphasised the need for infective endocarditis prophylaxis( all of which would be an indication for semi elective closure )
Of late - device closure is being attempted for closure of PM VSD with fairly good results , but is restricted to those with a good rim from the AV Valves/ muscular VSD ( Echocardiographic specifications)
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