Top
20
Doctor insights on: Hole In The Heart (Ventricular Septal Defect)

Share
Dr. Barton Cook
119 doctors shared insights

Ventricular Septal Defect (Definition)

A heart defect due to an abnormal connection between the lower chambers ...Read more


2

2
If a child has a small hole in the heart called a muskular ventricular septal defect, does that need surgery.?

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 more

See 3 more doctor answers
3

3
Can unexplained blue skin be caused by ventricular septal defects?

Can unexplained blue skin be caused by ventricular septal defects?

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 more

See 1 more doctor answer
4

4
Are there better and newer treatments for ventricular septal defects?

Are there better and newer treatments for ventricular septal defects?

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 more

See 1 more doctor answer
5

5
What symptoms are associated with a ventricular septal defect?

What  symptoms are associated with a ventricular septal defect?

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 more

See 1 more doctor answer
6

6
How risky is it for a child with a ventricular septal defect ?

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 more

See 1 more doctor answer
7

7
Anyone can assist me with the hemodynamic of ventricular septal defect?

Too complicated: There is no short answer to this because it depends upon the size of the defect. Blood will move from the left ventricle to the right. The volume of blood, and hence the effect, will depend upon the size of the defect. ...Read more

See 2 more doctor answers
8

8
When is surgery indicated for ?A ventricular septal defect?

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. ...Read more

9

9
I have a small ventricular septal defect. The doctor says I should have it closed.?

I have a small ventricular septal defect.  The doctor says I should have it closed.?

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 more

See 2 more doctor answers
10

10
I have a small ventricular septal defect from birth. How careful should I be about my social habits (smoking, drinking)?

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 more

See 1 more doctor answer
11

11
Son was diagnosed with a 4 mm ventricular septal defect one day after birth. How worried as a parent should I be going forward.

Son was diagnosed with a 4 mm ventricular septal defect one day after birth. How worried as a parent should I be going forward.

Depends: They often close spontaneously. When they don't, they can be repaired. Don't worry. You're living in the 21st century! ...Read more

See 1 more doctor answer
12

12
Could ventricular septal defect cause diastolic murmur?

Could ventricular septal defect cause diastolic murmur?

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

13

13
How do you treat a ?Ventricular septal defect?

How do you treat a ?Ventricular septal defect?

No u: Depending on the size, sometimes a vsd will close on its own. Other times a patch or surgery is required. ...Read more

See 1 more doctor answer
14

14
Ventricular septal defect repair is done by whom?

VSD repair: Generally a vsd will be repaired by pediatric cardiothoracic surgeon. ...Read more

See 1 more doctor answer
15

15
If i?Had ventricular septal defect? Can I still join the military?

VSD and military: Contact the military physician office or local recruiter to find out this answer. ...Read more

See 1 more doctor answer
16

16
Ventricular septal defect repair--when is it done in a baby?

Ventricular septal defect repair--when is it done in a baby?

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

17

17
How does the ?Blood flow work with a?Ventricular septal defect?

How does the ?Blood flow work with a?Ventricular septal defect?

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

18

18
Can anyone tell me is ventricular septal defect a genetic defect?

Can anyone tell me is ventricular septal defect a genetic defect?

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 more

See 2 more doctor answers
20

20
Can you tell me is a ventricular septal defect passed down through genetics?

Can you tell me is a ventricular septal defect passed down through genetics?

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 more

See 1 more doctor answer