Congenital heart defect
The Doctor's Consultation / / August 12, 2017
Hello.My boy 6 months.Pregnancy was held without the disease, a history of chronic tonsillitis only.The birth went without complications.During pregnancy, did 9 US - all normal.And then on the planned inspection of the pediatrician in the 5 months to hear a heart murmur.Prior to that, he was not there, the child develops by age, weight is added 800-1000 kg per month.In 3 months did DPT and polio vaccinations.In 5 months, we came to the vaccination and heard a noise and made 3 DPT immunizations poliemilit and hepatitis B. After immediately increased noise.We do ultrasound of the heart, the diagnosis - the UPU.The secondary atrial septal defect with a large left-right discharge, d- 23 30mm.The upper edge of the defect is absent.The front, bottom edge of the mild.It is impossible to completely eliminate the partial adlv (ERW system).The marked expansion of the right ventricle and the right atrium.The paradoxical movement of the interventricular septum.Expansion of the pulmonary artery.Stenosis of the pulmo
Could affect these vaccinations on the heart?Explain the US?Whether it is dangerous?Definitely need to do the operation?Forecast transactions and what's next?We were told that all very seriously, and we need to do is direct kraychayshie days of operation (2 at once), but it all to heart surgeon yet nominate + operation.In general, you can pull with this?How much time do we have?Thanks in advance.
Hello, Svetlana.Atrial septal defect - a congenital condition, he appeared in your baby in utero.Vaccination was not provoked or worsened its course.Often, these defects occur for the first time later in life and even in adults.Treatment in your case is the proper training and operations - closure of the defect.If the child does not operate, it can lead to serious consequences - pulmonary hypertension, heart failure and others, including to reduce life expectancy.In your case it is recommended to apply to the heart surgeon, because echocardiography visible signs that the heart is unable to cope with increased load (expansion of the right departments, tricuspid regurgitation), which can quickly lead to the development of heart failure.The prognosis for such an operation is favorable, then the child will not be anything different from other children.The question of the treatment strategy should be resolved after consulting cardiac surgeon, try not to delay it.All the questions you have better to write on paper and ask the doctor at internal consultation.