Ventricular septal defect natural history, complications and prognosis: Difference between revisions
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==Natural History== | ==Natural History== | ||
Natural history of unoperated ventricular septal defect | Natural history of unoperated ventricular septal defect | ||
==='''Restrictive ventricular septal defect''' === | ==='''Restrictive ventricular septal defect''' === | ||
* Small shunt (Qρ/Qѕ < 1.5/1.0 Qρ/Qs is pressure gradient between pulmonary and systemic circulation) | * Small shunt (Qρ/Qѕ < 1.5/1.0 Qρ/Qs is pressure gradient between pulmonary and systemic circulation) | ||
* No significant hemodynamic compromise | * No significant hemodynamic compromise | ||
==='''Moderately restrictive ventricular septal defect'''=== | ==='''Moderately restrictive ventricular septal defect'''=== | ||
* Moderate shunt (Qρ/Qѕ=1.5-2.5/1.0) | * Moderate shunt (Qρ/Qѕ=1.5-2.5/1.0) | ||
* Hemodynamic burden on left atrium and ventricle. | * Hemodynamic burden on left atrium and ventricle. | ||
* Increase in pulmonary vascular resistance | * Increase in pulmonary vascular resistance | ||
* Atrial and ventricular arrhythmia can occur | * Atrial and ventricular arrhythmia can occur | ||
==='''Large or Non restrictive venticular defect'''=== | ==='''Large or Non restrictive venticular defect'''=== | ||
| Line 27: | Line 20: | ||
* High pulmonary vascular resistance | * High pulmonary vascular resistance | ||
* Eisenmenger syndrome | * Eisenmenger syndrome | ||
==Complications== | ==Complications== | ||
* Spontaneous closure | * Spontaneous closure | ||
* Endocarditis | * Endocarditis | ||
* Aortic regurgitation | * Aortic regurgitation | ||
* Subaortic or subpulmonary stenosis | * Subaortic or subpulmonary stenosis | ||
* Eisenmenger syndrome | |||
* Atrial and ventricular arrhythmia can occur | |||
==Prognosis== | |||
==References== | ==References== | ||
Revision as of 17:18, 25 August 2012
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Ventricular septal defect Microchapters | |
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Differentiating Ventricular Septal Defect from other Diseases | |
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Diagnosis | |
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ACC/AHA Guidelines for Surgical and Catheter Intervention Follow-Up | |
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Case Studies | |
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Ventricular septal defect natural history, complications and prognosis On the Web | |
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FDA on Ventricular septal defect natural history, complications and prognosis | |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Keri Shafer, M.D. [2]; Atif Mohammad, M.D., Priyamvada Singh, MBBS
Overview
Natural History
Natural history of unoperated ventricular septal defect
Restrictive ventricular septal defect
- Small shunt (Qρ/Qѕ < 1.5/1.0 Qρ/Qs is pressure gradient between pulmonary and systemic circulation)
- No significant hemodynamic compromise
Moderately restrictive ventricular septal defect
- Moderate shunt (Qρ/Qѕ=1.5-2.5/1.0)
- Hemodynamic burden on left atrium and ventricle.
- Increase in pulmonary vascular resistance
- Atrial and ventricular arrhythmia can occur
Large or Non restrictive venticular defect
- High left and right ventricular volume overload
- High pulmonary vascular resistance
- Eisenmenger syndrome
Complications
- Spontaneous closure
- Endocarditis
- Aortic regurgitation
- Subaortic or subpulmonary stenosis
- Eisenmenger syndrome
- Atrial and ventricular arrhythmia can occur
Prognosis
References
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