Patient: Ultrasound findings: Aorta from left ventricle Ascending aorta internal diameter 9mm root 8mm Pulmonary artery from right ventricle Trunk internal diameter 11mm Left branch 8mm Right branch 7mm Left atrium Left ventricle long-axis view Anterior-posterior diameter 16mm Apical four chambers Short diameter 16mm Long diameter 19mm Right atrium (four chambers) Short diameter 19mm Long diameter 20mm Left ventricle (short axis) Anterior-posterior diameter End-systolic 13mm End-diastolic 20mm Transverse diameter End systolic 19mm End diastolic 24mm (four chambers) Long diameter End systolic 26mm End diastolic 31mm Posterior wall thickness 4mm Amplitude 4mm Right ventricle Left ventricle long axis view Anterior-posterior diameter 15mm Apical four chamber view Short diameter 18mm Long diameter 27mm Anterior wall thickness 3mm Atrial septal defect Location: Fossa ovalis End systolic 3mm End diastolic 4mm Septal thickness 6mm Amplitude 4mm Direction: Reverse defect Section: multisection Department: membrane Defect size End-systolic 3mm End-diastolic 5mm Left heart function EF58% △D29% 1. Echo interruption in the atrial septum fossa, with clear cut ends, size about 3~4mm, CDFI: diastolic flow bundle can be seen from the left atrium into the right atrium through the defect, spectral Doppler: maximum velocity of flowery blood flow is 1.2m/s. 2. Echo interruption in the septum membrane continuously, with clear cut ends, size of defect CDFI: systolic pattern of blood flow from the left ventricle into the right ventricle through the defect, spectral Doppler: the maximum velocity of patterned blood flow is 1.56m/s, the pressure step difference is 9.73mmHg. 3. The right atrium and right ventricle have increased internal diameter, the remaining atrial cavity has normal internal diameter and morphology, and no abnormal echoes are seen in the cavity. Pulsed Doppler: mitral valve with single-peak wave, heart rate 143 beats/min, rhythmical. Diagnosis: congenital heart disease, ventricular septal membrane defect (ventricular septum), unclosed fossa ovalis (atrial septum), enlarged right atrium and right ventricle, normal systolic function of left ventricle. Today is about 60 days after birth, and now weighs about 7 pounds; 2, twin girls, no physical abnormality in the older girl, this diagnosis is a little girl, and there is no history of heart disease in the family; 3, please consult what is the best time for treatment (or surgery) for the little girl? What is the impact on future growth? Doctor: It is recommended to review the ultrasound when she grows to 6 months, and if there are recurrent pneumonia attacks during the waiting period, surgery should be done early. Patient: This is a twin girl, the older one is not found to have this symptom, her weight may be around 9 pounds now; this little girl is found to have shortness of breath sometimes and feels her heart rate is faster; what symptoms should we observe more usually? Doctor: The main effects of ventricular deficiency on children are: a. increased pulmonary blood, easy to respiratory infections (colds, pneumonia, etc.); b. reduced blood circulation, affecting the growth and development of children, children grow thin; c. late pulmonary hypertension, cardiac insufficiency; and increased chances of getting infective endocarditis. For the timing of the child’s surgery, the risk of surgery increases in small infants due to the incomplete development of each organ, in addition, a part of the ventricular defect may heal naturally. Therefore, if the child has normal growth and development and is not too prone to colds, you can wait until the child is older before surgery, and vice versa, early surgery is required. Patient: Is it the same as a normal child after surgery? Thank you! Doctor: As long as the surgery goes well and there are no complications, the postoperative period will be the same as that of a normal child.