The patient was born on February 17, 2010, with cyanosis of the face and terminal extremities after birth, and was admitted to the hospital with the diagnosis of “neonatal aspiration pneumonia”. Three days after admission, he was discharged after treatment. Present condition: normal body temperature, no convulsions, good spirit and milk intake. Physical examination: responsive, powerful cry, no cyanosis around the mouth and nose, grade 3 systolic murmur can be heard in the precordial region. Reflexes and muscle tone were normal. How old can I be treated surgically and how much does it cost? What do I need to pay attention to now? Laboratory and examination results: ultrasound report: heart and large blood vessels trans-sectional UCG multi-sectional examination: 1, heart and large blood vessels are in normal position. 2. The chambers of the heart were not significantly enlarged. The structure and motion of each valve were basically normal. 3. The left and right ventricular walls were not hypertrophied, but the septum was thickened and the continuity of the septal membrane was interrupted with loss of echogenicity, with a range of about 0,3X0,5 cm. 4. The ratio of great vessels was about 1:1. 5. The systolic function of the left ventricle was good. The maximum shunt flow velocity was about 230 cm/s. The left-to-right shunt flow was seen at the foramen ovale of the interventricular septum with a bundle width of 0.3 cm. The final diagnosis was: 1. Ventricular septal thickening 3, mild pulmonary regurgitation 4, unclosed foramen ovale Last hospital visited. Yao Jianmin, Department of Cardiac Surgery, General Hospital of Beijing Military Region: The ventricular septal defect is 3-5 mm, which is a relatively small defect and has the possibility of healing by itself, if the mental diet and growth are good, it can be observed until 2-3 years old, and if it still does not heal by itself by then, surgery will be considered; if the fever and pneumonia are frequent and the weight does not increase, it is recommended to operate earlier (6 months old). The cost of surgery is 20-30,000 yuan. Patient: Thank you, Dr. Yao. I am finally looking forward to your reply. Can the foramen ovale be healed on its own? Can you see if the defect is 3-5 mm? I don’t understand this, I understand it as a 15mm defect. I’ll send you another ultrasound report. What should I do if my child is sometimes easily frightened? Do I need to take calcium supplements? Yao Jianmin, Department of Cardiac Surgery, General Hospital of Beijing Military Region: The foramen ovale is only 3 mm, which is a small defect in the atrial septum, and it may heal on its own. It is possible that the easy fright is due to calcium deficiency, please see a pediatrician. Patient: Thank you, Dr. Yao, for replying to the message in your busy schedule. I will now observe the child’s condition, and if surgery is needed, I will contact you in advance. The fecal occult blood test result is weakly positive; what should I do if the urinary cholestasis is weakly positive? (These two are the results of the laboratory tests performed at birth on February 17.) Beijing Military General Hospital, Cardiac Surgery Department, Jianmin Yao: It is best to have the urine and stool test results looked at by a pediatrician. The first time I saw a child, I had a vaccination, and I had already had one when I was a month old. Yao Jianmin, Department of Cardiac Surgery, General Hospital of Beijing Military Region: Without fever and breathing difficulties, etc., it should be possible to get the vaccination shot. Please respect the opinion of the local doctor of the relevant epidemic prevention station. Patient: Hi Dr. Yao, I had my child’s heart ultrasound today, 3 months and 8 days. I am sending you the photos of the ultrasound, please look at them and tell us what to do next. I checked today and the foramen ovale has already closed itself. Yao Jianmin, Department of Cardiac Surgery, General Hospital of Beijing Military Region: The foramen ovale has healed on its own, and the ventricular septal defect has a tendency to shrink, we suggest to continue to observe, maybe the ventricular septal defect can also heal on its own! Patient: Thank you, Dr. Yao. Have fun!