VSD

Question 1

What direction is a VSD shunt going?

Answer 1

L-R

Question 2

VSD’s put the patient at an increased risk for?

Answer 2

Endocarditis

Question 3

What are the 5 VSD types?

Answer 3

I- infundidular
A- atrioventricular
S- subvalvular
M- muscular
M-membraneous

Question 4

Which VSD is the most common?

Answer 4

Membranous (perimembrabous)

Question 5

What’s another name for subvalvular VSD?

Answer 5

Inlet

Question 6

What’s another name for infundibular vsd?

Answer 6

-outlet, supracristal

Question 7

What’s another name for AV VSD?

Answer 7

Gerbobe defect

Question 8

What is the gerbobe defect?

Answer 8

A shunt between the LV to LA

Question 9

Supacristal VSD location is?

Answer 9

Infundibular - near aorta and pulmonic veins

Question 10

Inlet VSD location is?

Answer 10

Subvalvular - low near TV & MV

Question 11

What murmur Is associated with VSD?

Answer 11

Loud Holosystolic murmur - LSB

Question 12

A murmur associated with a VSD will be louder will be:
-louder with a big VSD
-louder with a small VSD

Answer 12

Louder with a small VSD

Question 13

VSD symptoms will depend on?

Answer 13

VSD size

Question 14

What are 2 common symptoms of vsd?

Answer 14

• Dyspena
  -CHF

Question 15

What are 3 signs on echo we might see of a VSD?

Answer 15

• RVH
  -LAE
• VSD aneurysm with windsock deformity

Question 16

What’s the difference between a restrictive VSD and an unrestricte VSD, especially relating to the Nyquist limit?

Answer 16

• restrictive VSD: a small shunt we use normal color Doppler Nyquist limited detect

-unrestrictive VSD: a large shunt we lower our color nyquist limit to detect

Question 17

Use ____ to quantify pressure difference between the ventricles for a VSD

Answer 17

CW

Question 18

How do you estimate the RSVP with a VSD?

Answer 18

Systolic blood pressure - VSD velocity

Question 19

What will have a higher velocity a restrictive VSD or a unrestrictive VSD?

Answer 19

A restrictive VSD because the shunt is smaller so higher pressure goes through there

Question 20

What will a restrictive VSD velocity be?

Answer 20

> or equal to 4 m/s

Question 21

What will a unrestrictive VSD velocity be?

Answer 21

2 m/s