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

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Dr. Barton Cook
119 doctors shared insights

Ventricular Septal Defect (Definition)

A hole in the wall between the two lower chambers of the heart, thus allowing blood to abnormally go from one chamber, through the hole, ...Read more


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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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Ventricular septal defect repair is done by whom?

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

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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

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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

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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

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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

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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

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I was wondering is a ventricular septal defect passed down through genetics?

I was wondering is a ventricular septal defect passed down through genetics?

Some influence: There exists about 4% risk of any kid with a CHD having an offspring with some sort of CHD, but not necessarily the same one. Two parents with some CHD would have about 8% risk of offspring of some CHD. There are rare inherited syndromes that have a defect as part of their pattern, but these make up few of the overall numbers.Rare syndromes have higher recurrence risk. ...Read more

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Dear sir.my baby hav small inlet ventricular septal defect cardio dr says it was had in 3mm lt-rt shunt restricted so we hav wait 3month.plz explain?

Dear sir.my baby hav small inlet ventricular septal defect cardio dr says it was had in 3mm lt-rt shunt restricted so we hav wait  3month.plz explain?

VSD: Unless VSDs are symptomatic (low weight gain, fatigue,congestive heart failure), it is accepted practice to watch the VSD and follow with ultrasound to see if they close on their own. Keep a close eye on the baby and I am sure your pediatrician will as well. ...Read more

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Does a ?Ventricular septal defect cause a diastolic murmur?

Does a ?Ventricular septal defect cause a diastolic murmur?

Holosystolic: Classically, a vsd results in increased blood flow from left to right ventricle due to pressure differences and results in a holosystolic murmur. Several situations where a diastolic murmur may be heard is 1) large vsd results in aortic cusp sucking into vsd and aortic regurg, 2) very large defect with so much flow to lungs and back to left side with diastolic rumble through mitral valve. ...Read more

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Can ventricular septal defect cause diastolic or systolic murmur?

Can ventricular septal defect cause diastolic or systolic murmur?

Yes: Almost all vsd's cause a syhstolic murmur. Larger defects with a lot of flow across them cause a diastolic murmur from increased flow across the mitral valve. ...Read more

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What are the tests for ventricular septal defect?

What are the tests for ventricular septal defect?

Several tests. : There are several tests: physical exam, cxr, ekg, echocardiogram and catheterization. Really the best test is an echocardiogram (with a good physical exam); this should give all the necessary information about the vsd and help guide treatment. Vsds tend to close on their own over time but if they don't and cause symptoms, an operation may be required (usually with excellent outcomes). ...Read more

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What is the symptoms of having a ventricular septal defect?

What is the symptoms of having a ventricular septal defect?

Depends on size: Many vsds are mild and close on their own. Some are quite big and need surgery to repair them. Symptoms can be nothing to fatigue from shunting blood the wrong way. There is usually a loud heart murmur but that does not cause symptoms alone. A cardiologist can provide more information for the specific patient. ...Read more

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Is ventricular septal defect waiverable for military service?

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

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What sort of problem is an atrio-ventricular septal defect?

Complex ASD/VSD: Also known as an av canal, atrio-ventricular septal defectt is a type of congenital heart defect. There is a an ASD and vsd together creating a defect in the center of the heart. There is also one common av valve , rather than 2 distinct valves (mitral and tricuspid valves). It is commonly but not necessarily associated with down syndrome. Surgical repair is required in infancy. ...Read more

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What will be done for a ?Child with Down syndrome and ventricular septal defect ?

What will be done for a ?Child with Down syndrome and ventricular septal defect ?

Repair the defect : The approach to and reasons for repair for a ds kid is the same as for any other. The projected lifespan of a ds child with proper medical care for their main problems is >60 years. With holding care from such a child would violate federal "baby doe" statutes and place the licenses of any personnel involved at risk. Child & family services of the involved state would also become involved. ...Read more

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I want to know what the future holds for a child with Down syndrome and ventricular septal defect ?

I want to know what the future holds for a child with Down syndrome and ventricular septal defect ?

Varies: As one of the less complex heart defects in ds this is usually amenable to the same repair procedures as any other kid with a vsd.After repair, it does not have a significant impact on the ds projected lifespan of >60 yrs. ...Read more

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Dr. Pam Yoder Dr. Yoder
15 doctors agreed:
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I have a ventricular septal defect (vsd). Is it dangerous, and will my baby have the same condition?

Dr. Pam Yoder Dr. Yoder
15 doctors agreed:
I have a ventricular septal defect (vsd). Is it dangerous, and will my baby have the same condition?

Get records to know: Women who have a congenital heart defect surprisingly may know little about it. In some cases there are few symptoms between infancy and the time they get pregnant. They should ask their parents for information, get records from all their doctors and from any hospitalizations including when they were born, and see their cardiologist and an OB specialist about risk before trying to conceive (ttc). ...Read more

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What kinds of doctors will be involved in caring for a child with a large?Ventricular septal defect?

What kinds of doctors will be involved in caring for a child with a large?Ventricular septal defect?

Cardio/surgeon: You will, at a minimum, need the care of a pediatric cardiologist and a pediatric cardiovascular surgeon. ...Read more

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Hello doctors, can ventricular septal defect cause diastolic murmur?

Hello doctors, can ventricular septal defect cause diastolic murmur?

Not typical: The classic VSD physical finding is of course a holosystolic murmur. However, if the VSD is subarterial or supracristal, it can distort the aortic valve, sometimes causing leaflet prolapse. If this results in significant aortic insufficiency, there will be an associated diastolic murmur (with the insufficiency representing an indication for surgical repair). ...Read more

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How do you manage caries in a patient with ventricular septal defect?

No differently: However you need to check with your cardiologist to determine if you need antibiotics prior to any dental treatment. ...Read more

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Does atrial septal defect (asd) or ventricular septal defect (vsd) occur in some population groups more than others?

Does atrial septal defect (asd) or ventricular septal defect (vsd) occur in some population groups more than others?

Yes: ASD is more common in females 2-3/1, while vsd is only slightly more common. A variety of heart defects are frequently seen in chromasome defects, trisomies, deletions etc. Some asian populations have a form of vsd at higher frequency. There are polygenic factors that increase risk within families with heart defects for offspring with a lesion. ...Read more

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Can having a ventricular septal defect correction operation (patch applied) in 1989, cause demyelination in my brain after? If so, how does it?

Can having a ventricular septal defect correction operation (patch applied) in 1989, cause demyelination in my brain after? If so, how does it?

Separate problems: If you had successful vsd surgery and no problems afterwards, then this is unrelated. Brain injury can occur during surgery with cardiopulmonary bypass but typically these effects present differently than you describe and are not typical after vsd surgery. ...Read more

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What exactly is ventricular septal defect?

A hole in the heart: A ventricular septal defect is one of the most common forms of congenital heart disease, and it consists of a hole in the muscular septum that separates the right and left ventricles (lower pumping chambers). The size and location of the hole determines whether or not surgery is necessary to fix the defect. In many instances, a vsd may spontaneously close without the need for an operation. ...Read more