Doctor insights on:
Hole In The Heart (Ventricular Septal Defect)
Can one have valve regurgitation, atrial septal defects, or ventricular septal defects but still have normal and murmurless heart sounds?
If a child has a small hole in the heart called a muskular ventricular septal defect, does that need surgery.?
Usually not: A muscular ventricular septal defect (vsd) is a special type of vsd (there are many kinds). The vast majority of small muscular vsds require no treatment, and 90% close up by themselves by a year of age. Only large defects or those associated with other heart problems are likely to require surgery. ...Read moreSee 3 more doctor answers
Rarely: A large vsd that is untreated can lead to the development of pulmonary hypertension during childhood. It worsens over time and ultimately results in shunting of blood from the right ventricle through the vsd into the aorta and causing cyanosis (blue skin). ...Read moreSee 1 more doctor answer
Improved outcomes: Typically, if your child requires closure of his/her vsd, the proper therapy is open heart surgery. However, the outcomes of surgery are better than in the past, with safer anesthesia, improved cardiopulmonary bypass, better critical care, and less morbidity. It is not typical for catheter-based closure to be appropriate for vsds in children. ...Read moreSee 1 more doctor answer
Depends: Small vsds cause no symptoms. Large vsds in babies cause difficulty with feeding, gaining weight, and excessive sweating. If someone has a relatively large vsd that is not treated early in life, this will eventually cause pulmonary hypertension (high blood pressure in the lung arteries), which makes it hard for blood to get throught the lungs. This eventually causes the patient to turn blue. ...Read moreSee 1 more doctor answer
VSD: A vsd or ventricular septal defect is a communication between the bottom two pumping chambers of the heart. It can vary by size and location. A large vsd will result in excess blood flow to lungs and pulmonary edema and eventual congestive heart failure. This usually presents by 3-6 months of age. Please speak to your pediatric cardiologist about any questions and/or concern. ...Read moreSee 1 more doctor answer
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. ...Read more
You should feel good: When there is a space between the two main pumping chambers of the heart, there is an escape of blood out from the normal intended flow, back around the central circulation, instead of all the healthy oxygenated blood being pumped out to the body via the aorta. This usually results in less blood available for places like the muscles and brain, leaving patients easily tired. A repair should help. ...Read moreSee 2 more doctor answers
I have a small ventricular septal defect from birth. How careful should I be about my social habits (smoking, drinking)?
Small risk: You have a vsd or a small hole between the two ventricles or pumping chambers of the heart. Realistically there is no direct risks between smoking and drinking and this vsd (although smoking is never healthy and i would not suggest more than 1 drink / day) you should see a cardiologist and have an echocardiogram to monitor this abnormality. ...Read moreSee 1 more doctor answer
Son was diagnosed with a 4 mm ventricular septal defect one day after birth. How worried as a parent should I be going forward.
Two ways: A large vsd with increased pulmonary blood flow may cause a diastolic flow rumble caused by a large amount of flow coming back from the lungs across the mitral valve into the left ventricle. Perimembranous and supracristal vsds can cause aortic valve deformation, and subsequent development of a diastolic murmur of aortic valve insufficiency. ...Read more
VSD: It depends on the severity is the best answer. If the defect is small often it is left to close on its own which may happen. However, if the defect is large then it may be closed sooner than later in order to prevent complications. ...Read more
VSD: A vsd is a hole between the bottom two pumping chambers of the heart. Symptoms are usually based on age and size. A young infant born with a large vsd can progressive to congestive heart failure. The right ventricle receives extra blood flow from the left and sends it to the lungs resulting in fluid overload. Some medications used are Lasix (furosemide) to manage medically as infant gains weight before surgery. ...Read more
Not directly: This defect is not like eye color. You don't have a VSD gene hanging around that causes the defect. There is evidence that genes influence the defects (CHD's). If you have a CHD you have 4% risk of your kid having one of many CHD's. If both parents have a CHD,the risk would be about 8% of a child of the pair with a CHD. This is a complex issue.Consult a medical geneticist if needed ...Read moreSee 2 more doctor answers
Yes: There is no reason there is no reason they could not. ...Read more
No: Although there are genetic syndromes and conditions where VSD is part of the syndrome, most are spontaneous anomalies and not heritable. There are a few genetic disorders that have VSD as part of the picture that can be inherited but there are other birth defects as well. Genome wide association studies have not been conducted in families with isolated VSD ...Read moreSee 1 more doctor answer
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- Ventricular septal defect repair
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