Dr. Muhammad Zohaib Siddiq
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
My five-month-old baby girl was diagnosed with the "acyanotic congenital heart disease, fossa ovalis ASD (4 mm)". The fetal profile was clean. She is under ear infection-related antibiotics. Please refer to the attached report for details. How concerning is this? Should or can anything be done to fix it right away, or do we wait? Is there medication to fix, or is this surgery only? If it is surgery only, when to go for it and where? How should we care for her meanwhile? If I go for a second scan for confirmation, is that harmful to her? Really scared and need advice. Thanks and regards.
Hi,
Welcome to icliniq.com.
I understand your concern. No need to worry. Small ASD (atrial septal defect) usually closes by itself in a few months to years. My suggestion is there would be no need to fix it at this time. When indicated to close, options are device closure and surgical closure. I suggest you have a second scan when she becomes one year of age. Symptoms are shortness of breath, recurrent chest infections, and bluish color when crying (when large and symptomatic). Hope this helps. Kind regards.
Patient's Query
Hi doctor,
Thanks for the reply. Is 4 mm ASD considered small?
Hi,
Welcome back to icliniq.com.
Yes, it is small. Usually, small ASDs do not cause any issues and usually close themselves. Kind regards.
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Cardiology
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