The Evolution of Congestive Heart Failure Symptoms

If an ASD is relatively asymptomatic you have all the time in the world to kind of wait around until they're big enough to need something like that. Then trick of the simple defects, not all of them will close spontaneously. And then it really becomes a matter of how big is the hole and we would do an echocardiogram to kind of determine how big the hole is. If the if the holes don't get sufficiently small, or they really look like they're making no progress towards spontaneous closure by about a year of life,. That's when you start to think of this this child might need surgery to repair it.