Accepted at 4:52 a.m. May, 28, 2024 by Cameron
Author: mohannadkh10
Related Note: 1530903390772
Rationale for change

There are many indications for surgery in VSD

"Infants with large left-to-right shunts with clinical symptoms (e.g., failure to thrive, treatment-resistant congestive heart failure)
Asymptomatic older children with large left-to-right shunts or evidence of left atrium or left ventricular dilatation
VSD with aortic insufficiency or aortic valve prolapse into the VSD
Pulmonary hypertension

AMBOSS article
https://next.amboss.com/us/article/4403jT?q=VSD#UEXbE-

More importantly, severe pHTN is a contraindication for surgery
UTD :"Contraindications — VSD closure is generally contraindicated in patients with severe pulmonary hypertension (defined as pulmonary vascular resistance [PVR] >12 Wood units [WU]∙m2). "

Extra Extra
Text
Large ventricular septal defects may present with a harsh, blowing {{c1::holosystolic}} murmur with thrill; and can lead to {{c2::endocarditis}}, progressive aortic {{c2::regurgitation}}, heart failure, pulmonary HTN, and Eisenmenger syndrome
Lecture Notes
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Missed Questions
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Pathoma
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Boards and Beyond
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First Aid




Sketchy


Watch Left to Right Shunts
Sketchy 2

Watch Acyanotic Congenital Heart Disease DDx
Sketchy Extra
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Picmonic
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Pixorize
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Physeo
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Bootcamp
Watch associated Bootcamp video - Valvular Disease: Aortic Regurgitation
OME

Additional Resources
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#AK_Step2_v12::#SketchyPeds::04_Cardiology::01_Congenital_Heart_Disease::09_Ventricular_Septal_Defect_(VSD) #AK_Step2_v12::#AMBOSS::8o0OdS #AK_Step2_v12::!Shelf::#Cards_AnKing_Skipped #AK_Step2_v12::#AMBOSS::uo0pdS #AK_Step2_v12::#OME::01_Medicine::01_Cardiology::04_Valvular_Disease #AK_Step1_v12::#Bootcamp::Cardiology::20_Valvular_Disease::03_Aortic_Regurgitation #AK_Step2_v12::#OME::Clinical::01_Medicine::01_Cardiology::04_Valvular_Disease #AK_Step2_v12::$AnKingUpdates::$Errata::v11 #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) #AK_Step1_v12::#AMBOSS::pz0LFi #AK_Step2_v12::!Shelf::IM::no_dupes::only_step2 !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Internal-Medicine::1-OME #AK_Step2_v12::#AMBOSS::xo0EVS #AK_Step1_v12::#AMBOSS::wB0h1i #AK_Step2_v12::#AMBOSS::aK0QUS #AK_Step2_v12::#AMBOSS::CQ0qyf #AK_Step1_v12::#AMBOSS::2-0T9i #AK_Step1_v12::#SketchyPath::01_Cardiac::05_Congenital_Heart_Disease::01_Left-to-Right_Shunts #AK_Step2_v12::#SketchyPeds::04_Cardiology::01_Congenital_Heart_Disease::10_Atrioventricular_(AV)_Canal_Defect #AK_Step2_v12::#Subjects::Cardiology::01_Embryology::Ventricular_Septal_Defect #AK_Step2_v12::#SketchyPeds::04_Cardiology::01_Congenital_Heart_Disease::07_Acyanotic_Congenital_Heart_Disease_DDx #PANCE::EOR::PEDS #AK_Step2_v12::!Shelf::IM::no_dupes #AK_Step2_v12::#Resources_by_rotation::IM::ome::cardio::valvular_dz #AK_Step2_v12::Original_decks::Dorian::im::ome::cardio::valvular_dz #PANCE::CARDIO::congenital_heart_disease #AK_Step2_v12::#OME::06_Surgery::03_Surgical_Subspecialties::06_CT_Surgery #AK_Step2_v12::#AMBOSS::dGaoyN #AK_Step1_v12::#Bootcamp::Cardiology::21_Acyanotic_Congenital_Heart_Defects::02_Ventricular_Septal_Defect