VSD

Question 1

inlet vsds are associated with what valve defects

Answer 1

mitral

Question 2

outlet vsds are associated with what valve defects

Answer 2

aortic valve prolapse of the right coronary cusp

Question 3

when to operate for a type 2 vsd (membranous)

Answer 3

most frequent
infant: 1/2 systemic at 1 year
adult; symptoms, Qp:Qs > 1.5

Question 4

when to operate on outlet or inlet vsd in infant

Answer 4

when discovered

Question 5

when to operate on outlet or inlet vsd in adult

Answer 5

symptoms, Qp:Qs > 1.5. for inlet PVR < 6 woods units

Question 6

when to operate on muscular vsds (in regards to indications for membranous)

Answer 6

same indications:
infant: 1/2 systemic at 1 year
adult; symptoms, Qp:Qs > 1.5

Question 7

what Qp:Qs charecterizes restrictive, moderate and nonrestrictive shunts for VSD

Answer 7

< 1.5, 1.5-2.5, and > 2.5

Question 8

what percent of infants will require surgery for a VSD because of heart failure in the first year

Answer 8

30%

Question 9

what woods units for 1 year and older is prohibitive for a vsd closure

Answer 9

8

Question 10

what woods units for younger than 1 year and responsive to pulmonary vasodilators is okay for vsd closure

Answer 10

< 12

Question 11

what woods units is contraindicated for repair in an adult

Answer 11

> 6