0 Ventricular Septal Defect

Reactions: 


Ventricular Septal Defect ( VSD )

Most common Congenital heart disease. (15-20%)

MC type - Perimembranous (70%)

Comparing size of VSD with root of Aorta, it can be divided as :
Small
Medium
Large
<1/3 of root of Aorta

If < 3 mm ( de Roger’s defect )


In between Small and Large

>1/2 of root of Aorta
Loud Pansystolic Murmur at lower left sterna border

Absent or ejection systolic murmur

Asymptomatic

Symptoms : at 6-10wks
Failure to thrive
Recurrent infections
Feeding difficulty
CHF
1st chamber to enlarge is LA
Symptoms : at 6-10wks
Failure to thrive
Recurrent infections
Feeding difficulty
CHF
1st chamber to enlarge is LA



LVH (not right)

LVH (not right)



Delayed diastolic murmer at mitral apex. -> Large VSD




Complictions :

  1. MC - Infective endocarditis(IE) (VSD is also most common disease which has IE)
  2. CHF at 6-10 wks
  3. Eisenmenger's Syndrome


Treatment :

1. Initially Medical (3D)

  • Digitalis , diuretics , Dialators


2. Surgery if :

  • Medical treatment fail
  • Perimemberanous and Muscular VSD
  • Supracristal VSD (rare type)
  • Pulmonary/systemic blood flow >2 (MCQ)

NOTE : SURGERY CONTRAINDICATED IF EISENMENGER has developed.


Another Term to remember :
Swiss Cheese VSD = Multiple apical VSDs



MedicoNotebook - Founder : DrShiviMudgal , Co-Founder : DrAyushGoel

No comments:

Post a Comment

Ask your doubts / point out towards any error / show appreciation / explain anything you wish to.

Related Posts Plugin for WordPress, Blogger...
To Search for a "particular word" on "the page on your screen" , press Ctrl + F and then type the word you need to search on the visible page.

eg: If you need to search the word "Anatomy" on this page -- Press "Ctrl + F" , (a box will appear) and then type Anatomy in the box that has appeared.