VSD Flashcards
1
Q
What is the usual murmur heard in a VSD?
A
Holosystolic murmur, left lower sternal border
However, reduces if shent revereses in Eisenmenger’s
2
Q
Where are the two places a VSD can be and which is most common?
A
Membranous septum - most common
Muscular septum
3
Q
What are the indications for a surgical VSD closure? (5)
A
- Significant left to right shunt
- Endocarditis
- AR due to prolapse of the aortic valve leaflets through the deflect
- LV dysfunction
- Acute muscular rupture e.g. MI
4
Q
What needs to be thought about when draining an infected abscess in the heart?
A
- Prophylactic antibiotics
- Anticoagulation
- Polycythemia with increased haematocrit
5
Q
What are the complications of VSD? (5)
A
- Right ventricular failure
- Parodoxycal embolism
- infective endocarditis
- Haemoptysis
- Hypoxaemia
