Fetal heart hole in echocardiogram (interventricular hole)

2 months ago

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Diagnosis of fetal heart hole in echocardiography can cause concern in expectant mothers. In this article, we have tried to provide explanations in order to reduce the worries of these mothers.

VSD in the fetal period

It is possible for parents to hear that their child has a congenital heart problem. be terrified and dismayed. But knowing that some of these problems are not very dangerous. And the fact that even some of these defects improve by themselves during pregnancy or some time after birth can help families. to have less worry during pregnancy. The defect of the interventricular wall or the hole in the heart of the fetus is one of the congenital heart problems. which in small sizes often gets better by itself before birth or shortly after birth. And in larger sizes, they can often be completely treated with treatments such as angiography or surgery. And the child can finally live a normal life. Related article How dangerous is the hole in the heart of children?

The heart consists of four chambers. Two cavities at the top called the atrium and two cavities at the bottom called the ventricles. The ventricles are the pumping chambers of the heart. Doctors refer to a hole between the two ventricles as a ventricular septal defect (VSD). Ventricular septal defect (VSD) is one of the most common congenital heart defects. In this disease, there is a hole in the wall between the two lower chambers of the heart (right and left ventricle). This hole leads to increased blood flow to the lungs. Also, this hole causes the heart to pump. amount of blood to pass in both directions of the interventricular wall. This means that oxygen-rich blood and oxygen-poor blood mix, unlike normal. And they go from the heart to the body and lungs. Unlike other more severe forms of congenital heart defects, ventricular septal defects are not always diagnosed before birth. Especially if the hole is small. If your doctor suspects a fetal heart abnormality after your routine ultrasound examination. A fetal echocardiogram may be requested by a fetal echocardiologist. This test is safe and non-invasive. And it shows the structure of your baby's heart and how it works and helps us diagnose. Ventricular septal defect (VSD) is present or not. In other words, the hole in the heart of the fetus is visible in the echocardiogram in most cases. It also discusses possible postpartum treatment options. If necessary, the fetal heart doctor will closely monitor your baby for the rest of the pregnancy.

Most infants with ventricular septal defect (VSD) can. Give birth naturally without the need for cesarean section. Unless your obstetrician and gynecologist requires a cesarean for other reasons, which is still not a cardiac contraindication for a cesarean. In general, there are often no symptoms immediately after birth. During the first month or two of life, a baby with a large ventricular septal defect (VSD) is possible. have symptoms such as feeding problems, excessive sleepiness, rapid breathing and poor weight gain. The bigger the hole. More symptoms are seen in children. A baby with a small septal defect is possible. Have no symptoms.

How is the septal defect treated?

In large holes in early infancy, it is possible. Your child may need medication and additional (high-calorie) nutrition to help manage respiratory symptoms and improve weight gain. Most small septal defects close on their own over months and years. For larger septal defects, open heart surgery or angiography is performed to close the hole. that the drugs are not enough to control the symptoms. This may be in the first six months of life. After surgery, babies with a hole in the heart need regular follow-up visits by a pediatric cardiologist. But they usually end up living healthy and normal lives.

Small or mild septal defect

In most cases, when we do prenatal echocardiography at the fetal heart and vascular clinic. Finally, we may say that the structure of your baby's heart is normal. But there is a hole in the heart of the fetus with small dimensions between the two ventricles. ### What does this mean for my pregnancy? Your pregnancy plan with midwives and obstetrics team does not need to change. A small heart hole like this often closes without treatment and it is possible. Close with the birth of your child. A small septal defect usually does not cause problems for your baby in the womb or during delivery. ### What happens after birth? We expect your baby to be fine after birth. and does not have alarming symptoms. If this small hole is still open. When the baby's heart is checked with a stethoscope. A murmur is heard as the blood flow passes through the hole in the heart. The smaller the hole, the stronger the hissing sound. After the birth of the child, we advise you. to be examined by a pediatric cardiologist. We also recommend that your baby have a pediatric echocardiogram in the first few weeks of life. It may be recommended by the attending physician to ensure the closure of the septal defect according to the need. The child should be visited and echoed at certain time intervals. In most cases, the measures after birth are outpatient follow-up without prescribing drugs. Until this little hole is closed. **Dr. Saeed Bitarafan, pediatric and fetal cardiologist**

To read more, you can Please use the following articles.

https://www.ssmhealth.com/cardinal-glennon/fetal-care-institute/heart/ventricular-septal-defect https://kidshealth.org/en/parents/vsd.html