Repair depends on the type of ventricular septal defect .
. There's perimembranous, av canal type, subaortic and muscular. Need to know if double outlet right ventricle or left ventricle present. Is there a concomitant right ventricular outflow tract obstruction?. Need to stop the heart
and saw a patch, were to open the heart depends on type of vsd and associated defects. Timing of repair varies.