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.
See below. A cardiothoracic surgeon.
VSD repair. Generally a vsd will be repaired by pediatric cardiothoracic surgeon.
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.
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.
Varies. A VSD or hole between the lower chambers is created when the wall that usually separates them fails to complete its formation. Many are small, produce a loud high pitched murmur heard at birth & close spontaneously within the first year. Bigger ones may not have a murmur initially but can lead the heart to fail from overwork, producing poor feeding, lethargy, etc. Operative closure will fix these.
Peds. Cardiologist. This depends on the size and type of vsd and other concomitant factors and diagnoses. These are important questions for the child's pediatric cardiologist to answer.
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.
I have a ventricular septal defect (vsd). Is it dangerous, and will my baby have the same condition?
Tell OB & Peds docs. If a pregnant woman has a congenital heart defect, there is an increased chance her children will have a heart defect. However, it might be a different heart abnormality. Because the anomaly might not be detected in a fetus with an OB ultrasound or echocardiogram, babies at risk are often seen by a pediatric cardiologist and/or undergo an echo after birth. Sometimes a defect appears later in life.
Notify your doctors. Most vsds spontaneously close, or would have been repaired in childhood. If your vsd is still patent your cardiologist and OB should confer and determine the effect that pregnancy will have upon your heart. Your child does have an increased risk of congenital heart disease. Get an ultrasound to check your infant's heart before birth, see the pediatrician and discuss this before baby is born.
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).
Probably not. Vsds are a common type of congenital heart defect, affecting. 2% of the population, however most of them close on there own. There is no evidence that having a vsd is a risk factor for baby to have a vsd as well. More importantly, as a future mom, your good health is very important for your baby's good health so I would recommend that you have an echocardiogram to check out the vsd appropriately.
What kinds of doctors will be involved in caring for a child with a large? Ventricular septal defect?
Team. A pediatric cardiologist and a cardiothoracic surgeon (heart surgeon).
Cardio/surgeon. You will, at a minimum, need the care of a pediatric cardiologist and a pediatric cardiovascular surgeon.