Ventricular septal defect natural history, complications and prognosis
|
Congenital heart disease Microchapters |
|
Differentiating Congenital heart disease from other Disorders |
|---|
|
Diagnosis |
|
Treatment |
|
Case Studies |
|
Ventricular septal defect natural history, complications and prognosis On the Web |
|
American Roentgen Ray Society Images of Ventricular septal defect natural history, complications and prognosis |
|
FDA on Ventricular septal defect natural history, complications and prognosis |
|
CDC on Ventricular septal defect natural history, complications and prognosis |
|
Ventricular septal defect natural history, complications and prognosis in the news |
|
Blogs on Ventricular septal defect natural history, complications and prognosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Associate Editor-In-Chief: Keri Shafer, M.D. [2], Atif Mohammad, M.D., Priyamvada Singh, MBBS
Natural history of unoperated ventricular septal defect [1]-
Restrictive ventricular septal defect -
- Small shunt (Qρ/Qѕ < 1.5/1.0 Qρ/Qs is pressure gradient between pulmonary and systemic circulation)
- No significant hemodynamic compromise
Moderately restrictive ventricular septal defect
- Moderate shunt (Qρ/Qѕ=1.5-2.5/1.0)
- Hemodynamic burden on left atrium and ventricle.
- Increase in pulmonary vascular resistance
- Atrial and ventricular arrhythmia can occur
Large or Non restrictive venticular defect
- High left and right ventricular volume overload
- High pulmonary vascular resistance
- Eisenmenger syndrome
Other developments that can occur are -
- Spontaneous closure
- Endocarditis
- Aortic regurgitation
- Subaortic or subpulmonary stenosis
References
- ↑ Braunwald Zipes Libby. Heart disease: A textbook of cardiovascular medicine, 6th Edition chapter 43 :W.B.Saunders;.pp 1595
de:Herzfehler lv:Iedzimtās sirds slimības nn:Medfødd hjartefeil sr:Урођене срчане мане uk:Вроджені вади серця wa:Maladeye des bleus påpåds