Repetitive Delay in Diagnosis of Ventricular Septal Defect

JPMA. The Journal of the Pakistan Medical Association, 2011

To determine the frequency of various types of ventricular septal defects (VSD) and associated complications in local paediatric population. A cross sectional descriptive study was conducted on children undergoing echocardiography in a single centre from January 2006 to December 2009 at Paediatric Cardiology Department, Ch. Pervaiz Elahi Institute of Cardiology Multan- Tertiary referral centre for paediatric and adult cardiac services in South Punjab. The data on all children below 15 years of age undergoing detailed transthoracic two-dimensional echo and Doppler studies was reviewed. Cases with isolated ventricular septal defects were studied for age of presentation, gender, type, and associated complications. The data was analyzed with SPSS 11 version. A total of 5018 patients with congenital heart diseases underwent echocardiography during this period. A total of 1276 patients had isolated VSD (25%). Mean age was 3.1 +/- 3.64 years (range: 1 day to 15 years). Females were 440 (34...

International Journal of Epidemiologic Research, 2021

Background and aims: Since ventricular septal defect (VSD) is the most common congenital heart disease, this study aimed to investigate its prevalence, characteristics, and associated diseases in a referral children’s heart clinic in south of Iran. Methods: In this cross-sectional study that was conducted based on the databases of children with heart diseases, patients under 18 years of age referring to Imam Reza clinic were examined. All patients with at least one record of VSD in echocardiography during 2016-2017 were included. Demographic and echocardiographic characteristics including size of VSD, shunt gradient, pulmonary hypertension (PH), aortic regurgitation, and associated cyanotic and acyanotic defects were analyzed. Results: The prevalence of VSD found in 7458 echocardiography records was 12%, the median age of patients was 9.3, and the male/female ratio was 1.08. The perimembranous VSDs were determined to be the most common types of VSD. The most common associated compli...

Zenodo (CERN European Organization for Nuclear Research), 2021

Background: Ventricular septal defects (VSDs) are still one of the most prevalent surgical indications in newborns and children with congenital heart disease. With advances in echocardiography, cardiac catheterization is no longer necessary in the treatment of these individuals. Although perioperative mortality and morbidity for isolated defects are still low, unique scenarios such as surgical care of numerous VSDs and decision-making in patients with pulmonary hypertension remain difficult. This chapter examines both classic and recent evidence that has shaped the management of this condition, as well as the facts underlying developing interventional methods utilized in both the catheterization lab and the operating room. Conclusion: VSD is the most common congenital abnormality at birth. Small flaws should close on their own within the first year of life; however, larger faults can cause serious difficulties. The major interventions for big problems are surgical VSD closure and device closure.

World Journal of Advanced Research and Reviews

Introduction: Ventricular Septal Defect (VSD) is a common congenital heart disease. Three therapeutic approaches exist to treat this anomaly: observation and regular follow-up, surgical closure, and Tran’s catheter intervention. We seek through this study to determine the appropriate indications for surgical and non­surgical treatment of VSD. Methods: We conducted a retrospective multicentric study between January 1, 2000 and June 30, 2020 on 942 VSD carriers. Cases with isolated VSD were studied for age of presentation, sex, type of VSD, and VSD outcome. Results: Majority of our patients (60.5%) had a perimembranous VSD. During 20 years of follow-up, 220 underwent an intervention for their cardiac anomaly (either surgery or catheterization) and 722 received medical treatment and were under observation. Among patients who were solely monitored, 36.7% patients had a complete spontaneous closure of their VSD, 20.9% had a partial closure, and 39.9% had an unchanged VSD size. Patients w...

2020

Cite as: Monzón Castillo EP, Tejada Martínez G. Isolated ventricular septal defect. A case report. Rev Peru Ginecol Obstet. 2020;66(3). DOI: https://doi.org/10.31403/rpgo. v66i2267 ABSTRACT Congenital heart disease is the most common congenital anomaly. Ventricular septal defect (VSD) is a frequent congenital heart disease in newborns, affecting 25 to 30% neonates with cardiac defects. Muscular VSDs are more frequent than perimembranous VSDs. The association of cases with chromosomal anomalies and isolated VSD is relatively low. Spontaneous closure of isolated VSD is higher with small VSD cases, and the muscular VSD is more likely to close spontaneously than the membranous or perimembranous types. Therefore, diagnosis of isolated muscular VSD with no other anomalies can be considered a benign finding.

Journal of Evolution of Medical and Dental Sciences

BACKGROUND Ventricular Septal Defect (VSD) is the most common congenital heart disease in children. Our study was done with the aim to analyse the clinical profile and size and type of VSD in Paediatric patients admitted in a tertiary care hospital in Assam. METHOD This is a prospective cross-sectional study of 2 years' duration conducted in the Department of Paediatrics, Assam Medical College, Dibrugarh. Children aged 1 month to 12 years with a clinical diagnosis of VSD were evaluated by echocardiography to confirm the diagnosis. Only isolated VSD cases were enrolled in the study. Data was entered and analysed by SPSS version 16. RESULT Among the total of 70 cases, 47.1% were female and 52.9% were male; 54.3 % cases presented in infancy and 46 patients (65.7%) had their first symptom before one year. Perimembranous was the commonest (74.3%) followed by muscular (22.9%) and doubly committed subarterial (2.9%) VSD. Common symptoms were cough (68.6%), fever (68.6%), breathlessness (52.9%), feeding problem (45.7%), failure to thrive (45.7%) and fatigue (40%). Pansystolic murmur (100%), tachypnoea (62.9%), tachycardia (62.9%), crepitations (57.1%), subcostal retraction (45.7%), hepatomegaly (34.3%) and wheeze (20%) were the frequent clinical findings. Complications associated were pneumonia (57.1%), malnutrition (51.4%), congestive cardiac failure (CCF) (34.3%) and pulmonary hypertension (17.1%). CONCLUSION Perimembranous was the commonest type of VSD. Small VSD presented with mild symptoms or were asymptomatic. Moderate and large VSD presented with severe symptoms and complications. Clinical examination and diagnostic modalities like chest X-ray, ECG and echocardiography is helpful in diagnosing VSD. Early diagnosis and management will help in preventing the associated complications, thereby reducing the mortality and morbidity in these children.

Military Medical Science Letters

The ventricular septal defect (VSD) is a congenital lesion characterized by the presence of an opening between cardiac chambers. The treatment might involve medical therapy to control symptoms or in certain cases, surgical resuscitation might be required. Objectives: The study was conducted to establish a database about the prevalence and pattern of VSD and their prognosis in children referred to by echocardiography in Ibn-Sena Teaching Hospital over the period of March 2019 to January 2020. Method: The present study is a prospective descriptive study conducted on all patients diagnosed with cardiac lesions revealed by echocardiography. The sample included in the study involves newborns (day 1) to 14-years-old children. Result: Out of 500 children included in the study; most of these cases were cyanotic congenital heart lesions and out of which two-third were perimembranous defects. Conclusion: The study concluded a higher prevalence of non-cyanotic lesions and peri-membranous type is the commonest VSD lesion.

Archives of disease in childhood, 2016

Ventricular septal defects (VSDs) are the most common congenital heart defects (CHDs). Previous studies indicate an increased risk of endocarditis, aortic regurgitation, left ventricular outflow tract obstructions, pulmonary hypertension, arrhythmias and sudden death in patients with isolated VSDs. The present nationwide cohort study reports mortality and cardiac complications requiring hospitalisation or intervention in children with isolated VSDs. Medical information concerning all 943 871 live births in Norway in 1994-2009 was retrieved from the Medical Birth Registry of Norway, the Cardiovascular Disease in Norway project, the Oslo University Hospital's Clinical Registry of Congenital Heart Defects and the Norwegian Cause of Death Registry. Isolated VSDs were identified in 3495 children without known chromosomal aberrations or extracardiac malformations. Surgical or catheter-based treatment of VSD was performed in 181 (5.2%) cases. Twelve (0.3%) children with VSDs died befor...

European Journal of Cardio-Thoracic Surgery, 2003

Journal of the American College of Cardiology, 2002