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

Dr. Lars Erickson
Pediatrics - Cardiology
10 doctors agree
In brief: 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.

In brief: 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.
Dr. Lars Erickson
Dr. Lars Erickson
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Dr. Marsha Davis
Internal Medicine
4 doctors agree
In brief: Maybe
Depending on the amount of symptoms it aortic root involvement.
A vsd is the most common congenital heart defect and even in childhood many go on to close themselves not requiring surgery.

In brief: Maybe
Depending on the amount of symptoms it aortic root involvement.
A vsd is the most common congenital heart defect and even in childhood many go on to close themselves not requiring surgery.
Dr. Marsha Davis
Dr. Marsha Davis
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Dr. Alex Golden
Pediatrics - Cardiology
1 doctor agrees
In brief: It depends
A vsd only requires surgery if it's large enough or if it causes problems with the aortic valve or other adjacent structures.

In brief: It depends
A vsd only requires surgery if it's large enough or if it causes problems with the aortic valve or other adjacent structures.
Dr. Alex Golden
Dr. Alex Golden
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Dr. Mario Matos-Cruz
Surgery - Thoracic
In brief: Rarely
Most of the muscular vsd's specially if small and single spontaneously close.
Periodic echocardiographic follow up advised. Strict oral hygiene to lower risk of cavities or tooth abcess is advised as well as prophillactic antibioic therapy prior to oral instrumentation. A pediatric dentist and pediatric cardiologist advised.

In brief: Rarely
Most of the muscular vsd's specially if small and single spontaneously close.
Periodic echocardiographic follow up advised. Strict oral hygiene to lower risk of cavities or tooth abcess is advised as well as prophillactic antibioic therapy prior to oral instrumentation. A pediatric dentist and pediatric cardiologist advised.
Dr. Mario Matos-Cruz
Dr. Mario Matos-Cruz
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