- Emergency
- Prenatal information.
- Congenital heart defects.
- Atrial septal defect (ASD).
- Atrioventricular septal defect (AVSD).
- Ventricular septal defect (VSD).
- Aortopulmonary window.
- Aortic arch anomalies.
- Coarctation of the aorta.
- Interrupted aortic arch.
- Persistent ductus arteriosus (PDA).
- Cor triatriatrum.
- Ebstein’s anomaly.
- Pulmonary stenosis.
- Fallot’s tetralogy.
- Coronary artery anomalies.
- D-transposition of the great arteries (d-TGA).
- Aortic stenosis (AS).
- Total anomalous pulmonary venous connection (TAPVC).
- Pulmonary atresia with intact ventricular septum (PA + IVS).
- Double Outlet Right Ventricle (DORV).
- Truncus Arteriosus (TA).
- Hypoplastic left heart syndrome (HLHS).
- Univentricular heart (UVH).
- Treatment principles.
- Heart transplantation in infancy and childhood.
- Children's ward.
Ventricular septal defect (VSD)
Communications between the right and left ventricle are called ventricular septal defects. Different types are distinguished depending on the anatomical location:
Ventricular septal defects are often combined with other congenital heart defects.
Whether surgery is indicated depends on the magnitude of the left-to-right shunt and the associated clinical symptoms. Surgery in infancy is indicated for large shunts when the pressures in both ventricles are similar and there is treatment-refractory heart failure. In individual cases, it can be postponed until the preschool age if shunt volumes are less than 40% and cardiac symptoms are absent.
Corrective surgery is performed using extracorporeal circulation, and often with deep hypothermic circulatory arrest in infancy. The VSD is closed with a Dacron patch.
Banding of the pulmonary artery during the 1st year can be performed beforehand as a palliative operation in the case of very large VSDs that are unfavourably located for primary closure or multiple VSDs and when there are severe associated cardiovascular malformations.
- Ventricular septal defect
- Operation
