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A ventricular septal defect (VSD) is a defect in the ventricular septum, the wall dividing the left and right ventricles of the heart. The extent of the opening may vary from pin size to complete absence of the ventricular septum, creating one common ventricle.
If the ventricular septal defect is smaller than the pulmonary valve, the surgeon will enlarge the defect. The surgeon then uses a patch, commonly made of bovine (cow) pericardium or the child's own tissue, to create a tunnel between the ventricular septal defect and the pulmonary valve. This allows for blood to flow from the left ventricle to ...
A ventricular septal defect is when this lower wall—the ventricular septum—has a gap in it after development. The septum is formed during development as this muscular ridge of tissue grows upward from the apex, or the tip, and then fuses with a thinner membranous region coming down from the endocardial cushions.
This gives the infant time to grow, increasing the size of, and thereby the ease of operation on, the heart, as well as the ease of recovery. Infants will generally require surgery within three to six months, however, they may be able to go up to two years before the operation becomes necessary, depending on the severity of the defect. [15]
At that time, the procedure was used for patients who had TGA with a ventricular septal defect (VSD). By the late 2000s, the procedure was employed in situations where the right ventricle is bigger than the left ventricle and the left ventricle connects to the pulmonary artery instead of the aorta ; examples include double inlet left ventricle ...
The severity of symptoms depends on the type of TGV, and the type and size of other heart defects that may be present (ventricular septal defect, atrial septal defect, or patent ductus arteriosus). Most babies with TGA have blue skin color (cyanosis) in the first hours or days of their lives, since dextro-TGA is the more common type.
The timing of surgery depends on the baby's symptoms and size. [8] The procedure involves increasing the size of the pulmonary valve and pulmonary arteries and repairing the ventricular septal defect. [8] In babies who are too small, a temporary surgery may be done with plans for a second surgery when the baby is bigger. [8]
Heart sounds of a ventricular septal defect patient. The condition consists of atresia affecting the pulmonary valve and a hypoplastic right ventricular outflow tract. The ventricular septal defect doesn't impede the in and outflowing of blood in the ventricular septum, which helps it form during fetal life. [3] [5]
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