How To Deal With 4-5 Mm VSD In An Adult Heart?

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Greetings, I am a 24-year-old man with a height of 166cm and a bodyweight of 46kg, I have had chest pain for 2 months and yesterday I did an ultrasound of the heart with the following results: DESCRIPTION: Dimension of the cardiac chamber: within normal limits, LVH (-), normal LV contractility normal EF: 67% (teich), Normal RV contractility TAPSE 2.0 cm, Segmental analysis: global normokinetics, K.aorta: 3 cusps of classification (-) AR (-) AS (-), K.mitral: within normal limits, K. trikuspid: within normal limits IVC 26/20, eRAP 15 mmHg, PULmonal: within normal limits, PV Acct 88 ms mPAP 36 mmHg, Doppler: E / A u0026gt; 1 DT 202 OTHER: Visible IVS gap size 4 -5 mm LR shunt flow profusely PV, CONCLUSION: Suspended VSD SADC small LR shunt, Global LV systolic function normal EF 67%, Global normokinetic, normal RV systolic function, Valves within normal limits. The doctor said there is a small bulkhead about 4 mm in the heart , and I was given medicine for 1 month because he bled a hole as small as it could close by itself. Yes, and it’s okay as long as there are no symptoms, and I often I feel nauseous and sometimes tight, I want to ask whether it can close by itself and even if given a medical treatment should surgery for the chest or only a catheter with a small hole like that?

1 Answer:

Good afternoon, thanks for the question

Ventricular septal defect is the existence of a hole or gap that separates the two chambers in the heart. In normal organ development, the dividing wall between the two sac spaces will close spontaneously before birth. But when it does not close spontaneously, it can cause high pressure in the heart and cause decreased oxygen delivery.

Most cases of VSD can close spontaneously in infants after birth, making it less common in children and adults. Adults who have small VSDs generally do not have significant symptoms because the lung and heart organs do not work too hard. However, small VSD that is left open has a risk of endocarditis or infection in the heart.

Spontaneous closure of VSD generally occurs in infants. If adulthood remains open but does not cause any complications, it generally does not require special measures. However, regular follow-up with a cardiologist is necessary to assess its progress. If in its development there are more severe conditions, then surgery is the only option.

Small VSD closure surgery is generally recommended if there are episodes of endocarditis as a form of complications from the VSD, or if VSD causes a disruption of one of the heart valves. Whereas in the case of large VSD it is recommended for surgery. The method of surgery can be performed either by opening the chest cavity or by using a catheterization technique.

That's all, hope you can help
Wassalam.

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