Suggest Treatment For Muscular VSD Near Aortic Valve

muscular VSD 4MM What do you think can be closed?? BIRTH DAY 28/02/2011 EXAMINATION DAY 14/04/2011 NEW EXAMINATION 12/05/2011 VSD 4MM MUSCULAR Echocardiogram:  Heart Parts (S,D,S)  Smooth connection of systemic and pulmonary veins  Very small dilatation left atrium  Open oval section  Harmonious atrioventricular connection  Physical structure and function atrioventricular valve  Physical dimension and function ventricles  High muscular vsd 4mm near the aortic valve  Dilatation pulmonary valve  All other parts of the heart is physical Echo: Left - Right outflow though open oval section and the vsd with pressure equalizing between two ventricles (PG 22mmHG). High flow through pulmonary arteries and high returns through pulmonary veins Conclusion: Medium size muscular vsd near the aortic valve with important Left - Right outflow though open oval section. Recommended new examination in one month Doctor concerned about the high pressures and fears of the event to create pulmonary hypertension As a father I would like to inform you that the child has so far not present any obvious problem. Best regards Dimitris (Father)