How to handle left-to-right shunt at the level of the heart

Patient's question:

Daughter's birthday is today, exactly two weeks old. At the age of one year and eight months, she underwent an echocardiogram due to Kawasaki disease and was found to have a left-to-right shunt signal originating from the left atrium, with a shunt jet width of 2.5 mm. Previously, she had pneumonia once at one month and once at six months old.

Doctor's answer:

Left-to-right shunt, it should be closed at birth. But the echocardiogram shows it still exists! "I would like to ask the experts if the child's frequent respiratory diseases are necessarily related to her atrial shunt?" Children can easily get sick if they are a bit careless in winter. There is a correlation between what you mentioned. What is most important for you now is that the child does not get sick again this winter. Pay attention to nutrition and fresh air. You can have a heart echocardiogram checked every six months to see if the shunt can close automatically.

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