Complicated: A 'heart murmur" means that one can hear blood flow with a stethoscope. Very nonspecific term. A "hole in the heart" is a connection between the circulation that supplies the lungs (right heart) and the circulation that supplies the body (left heart). There are various types of holes (defects). All of the holes/defects have the potential to cause a murmur. Echocardiography will help.
Answered 6/20/2017
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