Ventricular Septal Defect

Question 1

Ventricular septal defect

Answer 1

hole between R and L ventricle in ventricular septum

Question 2

Change in blood flow

Answer 2

increase in pulmonary blood flow, high pressure in L heart, blood shunts to the R, increasing blood flow to the heart/lungs

Question 3

Characterized by

Answer 3

size, location, number of defects, presence of flap tissue

Question 4

What type of holes are the easiest to treat

Answer 4

holes in thicker muscle tissue

Question 5

What does the change in blood flow mean for the lungs

Answer 5

the lungs have to work harder leading to pulmonary HTN, ventricular hypertrophy, HF, valve regurgitation, atrial fibrillation

Question 6

When is treatment needed

Answer 6

VSD is large, SOB, failure to thrive, enlarging heart chambers, regurgitation, R to L shunt

Question 7

What meds can be used

Answer 7

diuretics, ACE inhibitors to decrease bp and pressure in the L heart to decrease shunting

Question 8

Treatment

Answer 8

surgery, catheterization sewing, transplantation with R to L shunting

Question 9

Murmur?

Answer 9

along L sternal border