My sister aged above 23 years old now,.she have completed her post graduation with good marks.her hight is 5 ft7 and weight normal .During her birth she was diagnosied with a VSD .When she was 18yrs old,her perimembranous VSD size was 6mm on left to right shunt.Gradient 90 mmHg Dilated LA & LV .The doctor examined and said for TEE .Now she has no problems to do natural work.she is normal like the other girls.
Please let me know, Should she require surgury ?
can she live normal married life?
what's the problems may occurs?
With a small perimembranous ventricular septal defect that is hemodynamically restrictive, which it sounds like your sister has, there is NO indication to get it closed. The only reason that she would need to have it closed is twofold: one, if the aortic valve above it gets pulled down into the defect and causes the valve to leak moderately or two, if she were to get endocarditis (an infection of the heart). She should have good oral hygiene (twice daily brushing, once daily flossing, annual dental visits) to lessen the risk of endocarditis. Otherwise, she should most likely have a normal lifespan and lifestyle.
There is no prfoblem once the hole is closed and she can live a normal life. Now how to get the defect closed you have two options either surgery or get the sme closed with a device which is inserted by a tube to the defect and usually patients go home next day. She being a girl you can talk to your cardiologist about both options.
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