22 weeks pregnant with ventricular septal defect under the aortic valve, diameter 3.4mm, is it dangerous?

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Hello doctor! My baby was 22 weeks old and had an ultrasound, and the doctor concluded that she had a 3.4mm diameter sub-aortic septal defect, 2 outflow right ventricles with ventricular septal defect. So the doctor asked me if the fetus is 22 weeks pregnant with a ventricular septal defect under the aortic valve with a diameter of 3.4mm, is it dangerous and how is it treated? Ask your doctor for advice and answers! Thank you sincerely!
Cao Thi Emu (1984)
Reply
Hello! Ventricular septal defect is the most common congenital heart disease, accounting for at least 0.2% of cases and 10% of children dying under 15 years of age. Accordingly, the common disease complications are: infective endocarditis, aortic regurgitation, subaortic stenosis, right ventricular outflow tract stenosis... For small (<4mm) holes, the ratio Self-closing <12 months old is 38%. However, the status of the fetus at 22 weeks of age with the diagnosis of a 3.4mm diameter subaortic septal defect, 2 outflow right ventricle with ventricular septal defect, you need to have a comprehensive examination and evaluation to have a diagnosis. Early indications for open-heart surgery to prevent the above complications. Currently, the fetus is 22 weeks old, you need to visit a specialized medical facility, after giving birth you need to follow up with an appointment and have the fetus regularly monitored at a hospital with a cardiologist such as: hospital under Vinmec Health System. Thank you for trusting and sending the question: "Is it dangerous for a 22-week fetus to have a ventricular septal defect under the aortic valve with a diameter of 3.4mm?" to Vinmec. Wish you have a healthy pregnancy, round mother and square baby. Best regards!

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Answered by Master, Doctor Do Nguyen Thuy Doan Trang - Head of Extracorporeal Circulation Team - Cardiovascular Center - Vinmec Central Park International General Hospital
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