Ventricular Septal Defect, Animation
(USMLE topics, cardiology) Congenital heart defects: VSD: Pathology, Symptoms, Diagnosis and Treatment.
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Ventricular septal defect, or VSD, refers to an OPENING in the interventricular septum that separates the two ventricles of the heart.
In normal circulation, oxygen-poor blood from the body returns to the RIGHT side of the heart where it is pumped into the pulmonary artery and to the lungs. After being oxygenated, oxygen-rich blood from the lungs returns to the LEFT side of the heart to be pumped into the aorta and out to the body.
A VSD allows ABnormal blood flow between the two ventricles. The NET flow of blood, called a SHUNT, is usually from LEFT to RIGHT due to significantly HIGHER blood pressure in the LEFT side of the heart. This is because the left side has to pump blood all over the body while the right side only needs to send it to the lungs. If the defect is small, the shunt is negligible and does not result in any symptoms. A large defect, on the other hand, may OVERLOAD the right side of the heart, causing it to FAIL. Heart failure symptoms usually appear during the first few weeks of life and include: fatigue, shortness of breath, difficulty feeding and poor growth.
Without treatment, other complications may also occur. As the right ventricle continuously pumps MORE blood to the lungs, the entire pulmonary vasculature may be overloaded and pulmonary HYPERtension may result. To OVERCOME the high pressure in the lungs, the right ventricle has to generate even HIGHER pressure, which eventually becomes GREATER than that of the LEFT ventricle. This REVERSES the direction of the shunt, causing oxygen-POOR blood to flow from RIGHT to LEFT and be sent to all tissues of the body. The resulting oxygen DEPRIVATION may be seen as a BLUISH skin color, known as CYANOSIS.
A VSD can happen alone or in combination with other congenital defects in conditions such as Down syndrome, or tetralogy of Fallot. The cause is unknown but likely to involve both genetic and environmental factors.
The turbulence of abnormal blood flow in VSD produces heart murmurs, which can be heard using a stethoscope. Diagnosis is confirmed by echocardiography.
VSD is the most common congenital heart defect in infants, but the defect is small in most cases. Small defects usually close on their own in early childhood and no treatment is needed. Large defects that produce symptoms usually require surgical closure in the first year of life.
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Mine is finally closing at almost 15 years!
@Anas-wv8sr
4 жыл бұрын
congrats! wish u the best
@azharirani1689
3 жыл бұрын
But membranous not closed automatically 100 percent open heart sugery
@anonymousdude530
3 жыл бұрын
Hey please reply me also done my VSD opration in last year
@azharirani1689
3 жыл бұрын
@@anonymousdude530 okkk what r u fine after closed vsd last year and how many ur size vsd and what which type ur vsd membranous ya muscular ...........?
@anonymousdude530
3 жыл бұрын
@@azharirani1689 I don't know what is my VSD size but now I am feeling better...
Excellent videos very clear language.
video güzeldi. thank you so much
thank you for the video
love it very clear explained
Great video!😍
Thanks
great video
very useful for all
very cool
Tq
Super
I found out I have this because I suffered a stroke due to a blood clot that past through the hole and ended up on my brain.
I’ve had this I think since I was in the womb. Over two decades later and as far as I know it is still open.
@tahaalmaki2014
6 ай бұрын
you can do ECHO to see if it is still open and its size.
@jeniecasemillano5279
17 күн бұрын
Without surgery?
AoA How are you please help me are you know about moderate vsd treatment
Hi I did make the same operation in Sweden for 4 years ago my question its if I can take viagra or it's dangerous Thanks
I had this when I was born and it closed on its own when I was 8, right before i was due to be scheduled for open heart surgery funny enough haha.
@anilsharma-yy3dk
4 жыл бұрын
Hi.. My new born baby has same problem please share your experience
@caoimhejordan4047
4 жыл бұрын
@@anilsharma-yy3dk I had it when I was born and after they discovered it I was kept under doctor supervision just to monitor it. They sent me home after about 2 weeks saying that I should just come back every month for checkups as I wasn't having any too serious complications. When I was around 8/9 I began to have heart murmurs and a lot of extreme chest pain so my mom brought me into the doctor and they said I would be scheduled in for open heart surgery. 2 days before my surgery I went in for an ultrasound to make sure that eveeything was ok for the surgery and it had closed by itself, which is why I was getting the murmurs and chest pain. I'm 15 now and go in for a check up every 3 years to make sure everything is ok and so far I've been good but I just have to stay active to keep my heart going I hope your baby is doing ok and it's not too serious x
@WarriorPhantom17
4 жыл бұрын
I was born with this too, but had surgery at 2 years old.
@kanchanroy4749
4 жыл бұрын
@@anilsharma-yy3dk mere baby ko bhi h
@sivanaresh574
4 жыл бұрын
@@caoimhejordan4047 can u tell me the size of the whole My baby have 2.7mm
I had this when i was born (doctors detected it while i was still a fetus, from what i was told). It ended up closing when i was young i believe, so i luckily had no issues from it, didn’t need any surgery but the surgery for it was supposed to happen while i was an infant.
@monicpallares8682
9 ай бұрын
What year or months did your vsd close by its own?
Hey funny thing about my grandson his growth is fine and his ok
Why after sometime the pressure in right ventricle becomes more than the left ventricle ? Plz explain
@NostroThe1
2 жыл бұрын
I know your comment is 5 months old but in case u didnt get the answer in the meantime, I’ll explain. It is said in the video, due to the flow of the blood from LEFT to RIGHT ventricle, right ventricle pumps more blood to the lungs, resulting in lungs overloaded with blood, which causes pulmonary hypertension and because behind pulmonary valve is higher pressure, right ventricle must increase the effort of pumping the blood against higher pressure, resulting in hypertrophy and higher pressure in the right ventricle, which is then higher than in the left ventricle. I hope this helps a little :).
They told me that they will operate on me when I will be 16 but 4 years later and they never did..
I LOVE U
I had this operation done at 25 years.
@DanyMinecraft123
3 ай бұрын
How was it sir?
My baby too.. I ask for help what home remedies??or practices i need to do go her VSD ?
@donmodi4437
5 ай бұрын
Those home remedies can help this type of heart problems!
I was diagnosed with this
@Practisejoy
5 жыл бұрын
Vaeya Martin @. Jus wanted to know how is life after vsd diagnosis? Is it possible for u to lead a normal life.... my newborn has been diagnosed with this, so i guess hearing from you would make me feel so much better about my baby.
@nalydnocab3448
5 жыл бұрын
I have this and it only thing that itaffects me on is that i cant be in the army probably because of infection but idk
@Emma_French20
5 жыл бұрын
Vaeya Martin same
@WarriorPhantom17
4 жыл бұрын
Rinchen Bhutia yes it's possible to live a normal life. you will have to get your child to visit the doctor's every year (or every few months). I was born with this had to go to doctor's appointments. I also used to take this pink medicine.
@TheRhonachan
4 жыл бұрын
Did they give you asperin?
Hi , my father diagnosed with ASD ( hole in heart) in 2006 but he wasn't convinced for surgery snd keep taking medication . Now in 2019 his condition is serious, no doctor is ready for operation. Please help me if any treatment is possible to save my father's life. Thank you.
@charuarvind3284
4 жыл бұрын
A human contact Narayana hrudayalaya in Bangalore India
@Samy-sam
4 жыл бұрын
charu arvind thank you
Hi, Sir! I just saw your video today because I found out that my baby has Congenital heart disease, a ventricular septal defect perimembranous. She's 9 months old and doesn't have any symptoms as she looks normal, eats normally, and gains weight. Her VSD measures 0.34-0.45cm. Can it be closed without medication? Thanks in advance for your answer doctor🤍
@48hearts
Жыл бұрын
Hi! I have VSD. Basically, it can close as your baby is growing. If it keeps growing, your baby may need open heart surgery to fix it. But, going to regular check ups can help to see your baby's progress!
@WorkAtHomeNanay
Жыл бұрын
@@48hearts thank you for your response. I hope that you're doing well now. I'm praying as well that it will close on it's own. 🙏
@48hearts
Жыл бұрын
@@WorkAtHomeNanay No problem! Take care! :)
@d.sahincelik3885
8 ай бұрын
Hello, my baby has got vsd (smiler with your baby primembranoz)he is 6 mounts old at now. Out doctors planning anjiyo for meausure pulmoner tansion . And they dont need another operation yet . What's the latest situation with you?
@donmodi4437
5 ай бұрын
@@d.sahincelik3885sorry to say but perimembranous vsd have least chance to close spontaneously!
mine’s now down to 3mm :) it’s been 17 years!
@nicodemolobino5658
Жыл бұрын
May I know mam your VSD before how long
@oyiboboy9009
Жыл бұрын
It gets smaller???
@Iynnsay
Жыл бұрын
@@nicodemolobino5658 hi! i don’t really know. i’m sorry!
@Iynnsay
Жыл бұрын
@@oyiboboy9009 apparently so! it eventually closes, some take longer than others. I’m not quite sure if does close in ALL cases, but I heard it does for most :)
I am from Indonesia... May I request for PATENT DUCTUS ARTERIOSUS Please....
✌️✌️Nice
Hello dr. My daughter is 1month old and she has small vsd (2.5mm). Can it be closed with growing up?
@monicpallares8682
9 ай бұрын
Same size with my daughter the doctor says that it will close by its own..
@donmodi4437
5 ай бұрын
What is the type of this ? Muscular or membranous?
@thilama_20
23 күн бұрын
@@monicpallares8682close aagirucha sister
does small vsd 2mm need an operation to close
@mohammedarshad212
Жыл бұрын
How is your baby.....I also worried about my baby..he has vsd...
@prageethviduranga726
Жыл бұрын
@@mohammedarshad212 size??
@mohammedarshad212
Жыл бұрын
@@prageethviduranga726 2mm vsd
@andleebkhajjak123
9 ай бұрын
@@mohammedarshad212hello does it resolve
@david1wang
6 ай бұрын
@@mohammedarshad212 no operation and no issue found so far.
I had two of them. One closed after about a year but one is still open.
@niranjanghosh2574
2 жыл бұрын
How big is the other one which is still open? And what are the precautions do you take? Please it’s urgent.
@jaylag.4529
2 жыл бұрын
@@niranjanghosh2574 its very minor. doesn't cause any problems in my everyday life
@niranjanghosh2574
2 жыл бұрын
thank you so much for the reply. My son has a Perimembraneous FSD by birth and the size is is around 6mm.. Was that similar to yours ? For us Doctor said need a Surgery..
I'm from Philippines. My 4 months son have 6.5mm Congenital VSD and doctor said he need open surgery when he turns 1 year old. Any idea if how percent does the surgery successful? I'm afraid with that 😭😭
My kid is 2 Months old and he has 7 MM membraneous VSD.. Till now his growth is good .. He born with 3kg weight and now he is 4 KGS other activities are normal and good except he is heavily breathing while having feed. Doctors suggested for open heart surgery in next month. Guys do we have any alternative for open heart surgery ? .please let me know.
@pavithrarajendran6536
3 жыл бұрын
Is that vsd?
@billo665
3 жыл бұрын
Yeah dear its same case is here. My baby born on 20 April 2021. He have 6mm VSD and we try to find better treatments for him. But what you did now? Whats app +971568502077
@ahmedkhichi9983
2 жыл бұрын
@@pavithrarajendran6536 same case here
@ahmedkhichi9983
2 жыл бұрын
@@billo665 bhai mujhe bhi bataiye best treatment kya hona chaiye
@harshinirajasekar9583
2 жыл бұрын
@@billo665 pls help my baby birth may 30 vsd level 4.1 sum doc sugess operation but jimmer pandicherry hospital doc sugess one year ku apuram operation pannalam nu soildranga
At 33 I still have mine. when I was new born. doctors say it will close in time. but mine still not closing. I am not having any symptoms though. been a triatlon runner ...and boxer for years since a kid.
@YouthSalad
3 жыл бұрын
14 and have Restrictive VSD. Not sure what any of this means but I'm not an athlete or anything so I should be fine. Doctors really aren't worried about me so I'm not either. My hole will probably never close and that's fine, I would like it to close but I've accepted the facts. We're both probably going to be fine, and live normal lives.
@shaiksara6405
2 жыл бұрын
Please pray for my newborn baby...she also have same problem still not closed
@natashagull2935
2 жыл бұрын
U people should go through a test called echocardiography ... this test will tell u about whether your heart is effected by this hole or not ....this disease is mostly asymptomatic ...once the symptoms appear u will most probably die in a year or may be in months or few days
@YouthSalad
2 жыл бұрын
@@natashagull2935 i go to a cardiologist once a year and they check up on me very well. i have have ultrasounds done on me for years. i think i'm fine lol.
@nat0106951
2 жыл бұрын
@@natashagull2935 its 2d echo. We are already aware of that. lol. Only cure is surgery or catheterization. Why bother doing those procedures and risk having side effects by those procedures. if we are already feeling perfectly healthy and fine now. My doctor already told me my symptom would be heart failure. no doctor can do anyrhing about that. it will just happen lol.
Small mid mascular vsd for 3 month baby. Will it closes it's own????
@mohammedarshad212
Жыл бұрын
How is your baby vsd close by its own
@richu5152
Жыл бұрын
@@mohammedarshad212 yes. We checked after 1 year.. And it becames completly normal.
@mohammedarshad212
Жыл бұрын
@@richu5152 thanks..my baby is 15 days old..dr is saying again scan after 3 months..pls pray for my baby.....
@richu5152
Жыл бұрын
@@mohammedarshad212 it will close own after 1 year.. Don't worry..
@mohammedarshad212
Жыл бұрын
@@richu5152 yes my baby have small vsd
I have a very small hole from this which makes it very loud I was good as long as it didn’t affect my growth
@pandora4332
4 жыл бұрын
I have got a smal hole in my heart but luckilly it is getting better.
@rajutonangi4607
3 жыл бұрын
Is 4mm hole small..?
@yunibukanartis
3 жыл бұрын
@@rajutonangi4607 i have 2 mm . Now i m 30 . Aand now i fell not well
@ajienugrahapratamaputra1630
2 жыл бұрын
@@rajutonangi4607 doctors in my hospital said below 8mm is considered small
@hafsahtayab6759
2 жыл бұрын
mine was 1mm
Hello everyone my name is Neha I m 38yrs old......I got eisenmenger syndrome VSD I m on medicines I m married also.....
Hi my baby born with this problem Age 12 days Plz give me suggestions
@jaimeeclair8999
4 жыл бұрын
Find a pediatric cardiologist to see your child.
@azharirani1689
3 жыл бұрын
Go to opration vsd closed to go normal baby but depend upon vsd problem which type membranous ya muscular
@kumarswapna7215
3 жыл бұрын
My baby 19 days rvsp 2d echo 25-30 mm mild pediatric dr. Said it's naturally closed. But i was fearing pls suggest me friends
@pradeepkotagiri7172
3 жыл бұрын
@@kumarswapna7215 I ma'am .. My kid has 7MM size VSD and doctors ate suggested for open heart surgery.
@masie_qz5821
2 жыл бұрын
@@pradeepkotagiri7172 my baby have seize of 0.4 cm she is 15 days old
Shri Satya Sai sadbhawna Hospital Raipur . It is one of the best hospitals of India for kids heart surgery. You have to pay nothing for this.
a tiny muscular ventricular septal defect 1.3 mm is noted showing bidirectional shunt fetal echocardiography is suggested for further evaluation ye normal h kya
@azharirani1689
3 жыл бұрын
No plsss r u go to opration vsd closed to achieve normal condition if vsd more than 1 cm these is condition are dangerous for heart bcz more de oxygenated blood flow in hole body system
@bhavanaagrawal8637
3 жыл бұрын
@@azharirani1689 but baby ka birth Ho gya h 2.5 month ka h Abhi Wo to Kya cordilogesty ko Dekhana chahiye
@azharirani1689
3 жыл бұрын
@@bhavanaagrawal8637 absoloutly r u go near the cordiologist bcz cordiologist suggests how much hole closed sugery ya medicine sunt bcz late vsd treatment a lot of bro problem create after surgery
@bhavanaagrawal8637
3 жыл бұрын
@@azharirani1689 but corona h Isliye nhi gya
@azharirani1689
3 жыл бұрын
@@bhavanaagrawal8637 no problem guys as corona symptom just reduce r u go to cordiologist talking about vsd
My baby have VSD of 0.5cm would it recover itself or we have to perform surgery...
I'm still suffering this disease, can this be curable
@nat0106951
3 жыл бұрын
what are you experiencing? found out just 5 years ago at age 28 that mine is still not closed. vsd. but I am not having any symptoms though. I am marathon runner. and do boxing aa hobbies. without problem.
❤❤❤
i have vsd since i born ans still now i am 32 years old and my nails become a blue any treatment?
@Alilamedicalmedia
4 жыл бұрын
You have to see your doctor!
@farhanfaraan1
4 жыл бұрын
@@Alilamedicalmedia i show my dr he said we dnt have permanent treatment for this and i will be like forever. The surgery age is gone also i should surgery at the age of 2 or 3 years old.
@jaimeeclair8999
4 жыл бұрын
@@farhanfaraan1 Try to find a doctor who treats adult with congenital heart defects.
@patriciacalderon95
4 жыл бұрын
Ive heard people gota get it fix wen babys or else with time hart gets larger an people can die....blues
@azharirani1689
3 жыл бұрын
@@jaimeeclair8999 sir plsss tell me what vsd are down syndrome yes ya no
I'm 30 years old and I have VSD since birth until now with another disabilities lung problem and glaucoma.. 😂 I hate my life.
@yunibukanartis
3 жыл бұрын
Glucoma how you can write here
@Paxxxxxxxs
3 жыл бұрын
I have ASD VSD HRHS DORV plastic bronchitis Tricuspid atresia pulmonar Stenosis PTSD anxiety and asthma
@yunibukanartis
3 жыл бұрын
@@Paxxxxxxxs you are very stronge
@gabaacademy1667
2 жыл бұрын
I have the same issue.are you having problem in gaining weight?
@mbr_epep99
2 жыл бұрын
I also have a problem with VSD. At the age of 40, I am very often sick when I am too tired to work hard. Lack of rest also affects my heart health, sometimes it causes swelling of the heart.
Where the VSD squad at?
Side me write bhi kr Diya kro damajh me nhi aata😏
I just found out I had this and I'm 29
I have this and it hasn't closed yet. I'm 27.
@tomboygirl5085
3 жыл бұрын
Are you okky sis have you have some issue
@torimalin3568
3 жыл бұрын
@@tomboygirl5085 No issues at all.
@tomboygirl5085
3 жыл бұрын
@@torimalin3568 you,re lucky
@rongilamon4324
3 жыл бұрын
Same as me. 24
@tomboygirl5085
3 жыл бұрын
@@torimalin3568 you take precaution against covid
My niece has detected 4 mm large permembranous vsd with left to right shunt,,,and she is 2 month old what happens then,,,,give me suggestions
@Riswanauk
3 жыл бұрын
How is her condition now ? Is surgery done or close naturally?
@umeshkusumsharma3430
3 жыл бұрын
4 mm is moderate to large vsd by baby also have but Uska 2mm hogya in 3 months
@swapnilpatil2123
3 жыл бұрын
@@Riswanauk yes, surgery done,,, coz it's increasing,,,and her weight not grown up,,, she is good now but she had phenumonia,,,we are talking care,,,
@swapnilpatil2123
3 жыл бұрын
@@umeshkusumsharma3430 no it's increasing,,,we had surgery
@prageethviduranga726
Жыл бұрын
@@swapnilpatil2123 weight is not growing up means ????
Reason of poor growth and difficult feeding