Doctor insights on:
Ventricular Septal Defects
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
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 moreSee 1 more doctor answer
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 to manage medically as infant gains weight before surgery. ...Read more
What is the outlook for a person diagnosed at 21 with ventricular septal defect with symptoms(just below80% lung function, neasua, faintness, rapid hr)?
Depends on VSD size: The prognosis for a 21 year old diagnosed with a ventricular septal defect (vsd) depends upon the size of the defect. With a large vsd, there is a greater likelihood that the defect has produced elevated pulmonary artery pressures and vascular resistance that may not be reversible. If the vsd is small, however, the pulmonary artery pressures are likely normal with a good longterm prognosis. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
I want to know what the future holds for a child with Down syndrome and ventricular septal defect ?
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
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