When is surgery indicated for ?a ventricular septal defect?

Variable: A small vsd may close spontaneously as a baby grows or the babies system may decompensate under the strain of the extra work & progress to heart failure. Many times this can be managed for a time with meds. If baby is thriving on meds & close observation, they may wait before repairing the defect.This decision is made by the surgeon & pedi-cardiologist based on individual factors.