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3 years
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Honostly i do not know it in emglish the problem is he have a hole in one of the paths of the heart (botain 2al 2ay) and the surgery is that they want to do somthing in the veins to remove this hall
Aug 16, 2014
2nd opinion

Dr. Zakia Dimassi Pediatrics
Ventricular septal defect (VSD) is when there's a hole or defect in the septum (the muscular wall that separates the ventricles البطين) that causes the blood to move from the right side of the heart (which pumps dark colored blood rich in carbon dioxide to clean it up in the lungs through exhalation) to the left side (which has the bright red oxygen rich blood and sends it to the organs). As a result the oxygen in the blood drops and the patient turns blue at times (cyanosis). VSD is closed by open surgery or by percutaneous transcatherter closure, where a catheter, a rod likemetal sstructure, is inserted through the skin into an artery then goes all the way up into the heart, where a special small device attached to this rod gets inserted into this hole, and gets inflated so it looks like an umbrella; this is how this device will seal and close the hole.
Since your son is already 4 and he's not undergoing open surgery, I think that the hole is not a large one.
What to expect immediately after the operation?
Most children recover quickly from ventricular septal defect (VSD) closure. After surgery they go into the Pediatrics ICU. if all goes well the breathing tube is taken oout few hours later. They are kept under close observation (blood pressure and oxygen level in blood). Sometimes they may have a higher than usual pressure in the lung blood circulation so the tube is kept for a little longer and the child is kept sedated (sleeping) and receive treatment to lower this pressure. Within a few days the blood vessels relax and these symptoms resolve.

Most children are transferred from the I'CU to the regular ward on the first or second postoperative day. Within 48 hours drainage tubes attached to the chest to drain out excess fluid and prevent it from accumulating around the lungs and heart, are removed. Many patients are ready to go home within 4-7 days of suy gery.

Residual VSDs after surgery occur in 5-25% of cases.

Patients who have undergo VSD repair should be observed routinely to ensure a return to normal function andnormal ggrowth as measured on the growth curves. They may be kept on medication (blood thinners, medication for lowering blood pressure etc). They need to do follow up heart ultrasound every 3 or more months (depending on how well they're doing).

Kids with successfully closed VSD can lead a normal life but they ma have some decrease in exercise tolerance. Care should be given in the event of dental procedures (need antibiotics before).
Complications associated with the procedure include problems in the electrical conduction of the heart, or with the valves (الصمام) but these cannot be predicted now ; they only appear on follow up heart ultrasound.
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