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How Do You Treat a Hole in a Baby's Heart?

Published in Pediatric Cardiology 2 mins read

Treating a hole in a baby's heart typically involves closing the hole, with the method depending on its size and type.

A "hole in the heart" in a baby, often referred to as a congenital heart defect like an Atrial Septal Defect (ASD) or Ventricular Septal Defect (VSD), requires treatment if it is significant or causing problems. The approach depends heavily on the specific defect.

For many small holes, especially VSDs, no treatment is needed as they may close on their own as the baby grows. However, larger defects usually require intervention.

Based on medical recommendations:

  • Surgery: If your child has a larger ventricular septal defect, surgery is usually recommended to close the hole. This involves a surgical procedure to patch or stitch the opening in the wall separating the heart's ventricles.
  • Catheter Procedure: Some types of defects, such as a large atrial septal defect and some types of ventricular septal defect, can be closed with a special device inserted with a catheter. This is a less invasive procedure where a thin tube (catheter) is guided through a blood vessel to the heart, and a closure device is deployed to plug the hole.

The decision on the best treatment method is made by a pediatric cardiologist based on the baby's specific condition, the size and location of the hole, and overall health.

Common Treatment Approaches

Defect Type Size Typical Treatment Method
Ventricular Septal Defect (VSD) Small Observation (may close on its own) No intervention needed initially
Ventricular Septal Defect (VSD) Larger Closure is usually recommended Surgery to patch/stitch the hole
Atrial Septal Defect (ASD) Large Closure is recommended Device closure via catheter
Specific types of Ventricular Septal Defect Varying Closure may be possible Device closure via catheter

Pediatric cardiologists monitor babies with heart holes closely to determine the best course of action and the optimal timing for intervention if needed.

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