What causes extra heart sounds in a six-year-old child?

Question

Hello doctor,

My daughter is 6 years old. Our doctor suggested taking an echo because she heard some extra sounds when she checked with a stethoscope. We have taken the echo test, and the results are as follows: LVID (D) - 3.0 cm, LVID (S) - 1.4 cm, IVS (D) - 0.5 cm, PW (D) - 0.4 cm, Features: RA, RV, and LA - Normal, IAS - Intact, RWMA - Nil, Mitral, tricuspid, aortic, pulmonary, and pericardium - Normal, EF - 62 %, A small sub-aortic VSD (3.4 mm) with a left-to-right shunt is seen, Normal biventricular function, No PDA, lA or IAA clot, Impression - CHD. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern. VSD (ventricular septal defect) is a congenital cardiac abnormality. If it is large or is causing symptoms, it has to be closed. Otherwise, it does not cause harm. Your daughter's VSD is small. These are closed spontaneously over time, many times. Just do not worry. Have yearly echo (echocardiogram) done until 10 years of age. Then, it will be decided whether to close it or leave it as is if there is no complication.

I hope this helps.

Please revert so I can assist you further.

Thank you.