Patient: The baby was found to have a heart murmur during a month-long checkup and had an ultrasound at the Third Affiliated Hospital of Zhengzhou University at more than three months.
The doctor told me that the baby is under observation.
I would like to consult with you, doctor, whether it is possible for this condition to heal on its own, and if not, when is the best time for the baby to undergo surgery, I may be a bit incoherent, please understand my feelings, I am eager to hear from you!
Ultrasound report from the Third Affiliated Doctor of Zhengzhou University: 2D echocardiogram (mm)
The heart is normally positioned in the thoracic cavity, the relative positions and connections of the atria, ventricles and great vessels are normal, the internal diameter of each chamber is within the normal range, the interventricular septum is not significantly interrupted, the septal echogenicity is interrupted by 8mm (perimembranous inflow tract + trabeculae) partial pseudo septal aneurysm formation, the shunt is diffuse, left to right shunt, the shunt velocity is 4.9m/s, the ventricular wall thickness and motion are normal, the position, morphology and activity of each valve No abnormalities were seen. The left aortic arch, no obvious arterial duct opening was seen. Zhang Kailun, Department of Cardiac Surgery, Wuhan Union Medical College Hospital, Wuhan, China: A six-month-old baby with a ventricular septal defect has the possibility of natural closure. If it does not close the best time to operate is between 2 and 5 years old. Patient: Is the condition of the little baby serious? There is a sentence in the diagnosis that the septal echogenicity is interrupted by 8mm (perimembranous inflow tract + trabeculae) partial pseudoventricular septum A formation, what does it mean. Wuhan Union Hospital Cardiac Surgery Department, Karen Zhang: An interruption of septal echo of 8mm indicates that there is a septal defect, while the presence of partial pseudoseptal A formation indicates that the fibrous tissue around the ventricular defect blocks part of the defect, thus making the defect smaller, which is also a sign of self-healing of the septal defect. However, this is not a very reliable indicator, because even if the pseudoseptal tumor completely covers the ventricular defect and no shunt exists, the possibility of future rupture of the septal tumor and reopening of the ventricular defect under some special circumstances cannot be excluded. On the other hand, the formation of a pseudoventricular septoma depends on the involvement of the tricuspid valve, and if too much tricuspid valve tissue is involved in the formation of a septoma, it may cause undesirable complications such as tricuspid regurgitation. Therefore, you should regularly observe changes in your condition and still need surgery if it fails to close naturally and if it closes poorly.