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All about ventricular septal defect causes of ventricular septal defect symptoms of ventricular septal defect complications of ventricular septal defect diagnosis of ventricular septal defect treatment of ventricular septal defect

What're the treatments for ventricular septal defect?

Treatment of ventricular septal defect is either surgical (open or percutaneous endovascular) or conservative. Smaller congenital ventricular septal defects often close on their own (as the heart grows) and are thus treated conservatively. Open surgical procedures require a heart-lung machine and are done with a median sternotomy. Percutaneous endovascular

procedures are less invasive and can be done on a beating heart, but are only suitable for certain patients. Repair of ventricular septal defects are complicated by the fact that the conducting system of the heart is in the immediate vicinity.

Closing small ventricular septal defects may not be needed. They often close on their own in childhood or adolescence. But if the opening is large, even in patients with few symptoms, closing the hole in the first two years of life is recommended to prevent serious problems later. Usually the defect is closed with a patch. Over time the normal heart lining tissue covers the patch, so it becomes a permanent part of the heart. Some defects can be sewn closed without a patch. Repairing a ventricular septal defect restores the blood circulation to normal. The long-term outlook is good.

Babies who have shown some signs of congestive heart failure will typically be placed on medication, usually a diuretic to help get rid of extra fluid in the lungs. Sometimes digoxin will be added to help increase the squeeze. Sometimes a medication to lower the blood pressure will also be added to relieve the workload of the heart. In babies who are failing to thrive because it is too difficult for them to eat, a high calorie formula or fortified breastmilk will be added to help the baby grow. Sometimes babies get so worn out with feeding that a nasogastric feeding tube is necessary to deliver the food. The goal is to control the signs of heart failure to allow the baby time to grow. In the meantime, the ventricular septal defect can get smaller and cause fewer problems, in which case the infant will not require surgery and will eventually come off medications. When the symptoms of a ventricular septal defect are hard to control with medicines or there is persistent evidence that the heart is doing extra work, surgical closure of the defect is often recommended. Surgical closure of isolated ventricular septal defects is uncomplicated in 99 percent or more of cases.

More information on ventricular septal defect

What is a ventricular septal defect (VSD)? - A ventricular septal defect is an opening in the ventricular septum, or dividing wall between the two lower chambers of the heart known as the right and left ventricles.
What causes ventricular septal defect? - Ventricular septal defects occur when the partitioning process does not occur completely, leaving an opening in the ventricular septum.
What're the symptoms of ventricular septal defect? - The most common signs and symptoms are trouble eating and gaining weight, breathlessness and easy fatigability.
What're the complications of ventricular septal defect? - Ventricular septal defect can cause lung disease. Some ventricular septal defects are found in combination with other heart defects.
How is a ventricular septal defect diagnosed? - Ventricular septal defect can be detected by cardiac auscultation; they typically cause systolic murmurs.
What're the treatments for ventricular septal defect? - Treatment of ventricular septal defect is either surgical (open or percutaneous endovascular) or conservative.
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Ventricular septal defect (VSD)

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