muscular vsd 4mm

[dimitris77]

VSD 4MM

What do you think can be closed??

BIRTH DAY 28/02/2011
EXAMINATION DAY 14/04/2011
NEW EXAMINATION 12/05/2011


VSD 4MM MUSCULAR



Echocardiogram:

 Heart Parts (S,D,S)
 Smooth connection of systemic and pulmonary veins
 Very small dilatation left atrium
 Open oval section
 Harmonious  atrioventricular connection
 Physical structure and function atrioventricular valve
 Physical dimension and function ventricles
 High muscular vsd 4mm near the aortic valve
 Dilatation pulmonary valve
 All other parts of the heart is physical

Echo:
Left - Right outflow though open oval section and the vsd with pressure equalizing between two ventricles (PG 22mmHG). High flow through pulmonary arteries and high returns through pulmonary veins


Conclusion:

Medium size muscular vsd near the aortic valve with important Left - Right outflow though open oval section.
Recommended new examination in one month



Doctor concerned about the high pressures and fears of the event to create pulmonary hypertension

As a father I would like to inform you that the child has so far not present any obvious problem.

Best regards

Dimitris
(Father)

[kenkeith]

It appears your daughter has what is termed ventricular septum defect (VSD).  This a congenital anomaly of the septum (wall that separates left and right ventricles) and anomaly is a hole in the wall.  The medical significance is when the intrventricular pressure is greater in the left ventrical (this normally true) than the right ventricle blood is shunted from the left ventricle to the right ventrical and this does not cause any serious problems but good oxygenated blood is recycled through the lungs.  However, if the pressure is greater in the right ventricle deoxygenated blood goes into the left side and then into circulation.  It becomes symptomatic when the heart cells are not getting enough oxygenated blood.

Pulmonary hypertension will increase the right ventrical pressure and cause right to left shunting and the doctor wants to avoid this situation.  At the present time accoring to the information provided the pressures are about equal between the left and ight chambers so there is right to left shunting.  

Thanks for sharing, and if you have any further questions or comments you are welcome to respond.  Take care and I wish your daughter well going forward.

Ken