Created at 10:46 a.m. Oct, 16, 2025
Author:
vikmahajan
Type of change:
Updated content
Rationale for change
Harsh holosystolic murmur over the left lower sternal border
Becomes more intense with maneuvers that increase left ventricular afterload (e.g., handgrip)
Typically louder in small defects
Source: AMBOSS - Acyanotic congenital heart defects
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- Surgery is generally reserved for large VSDs with clinical symptoms
- Congenital heart defects only account for 2% of heart disease in adults. They are low-yield

Photo credit: Centers for Disease Control and Prevention, Public domain, via Wikimedia Commons
- When endocarditis is suspected, get an echo to identify vegetations around the border of the VSD, within the defect, or on adjacent valves in the direction of the high-velocity jet created by the VSD
- Endocarditis prophylaxis is not recommended for uncomplicated VSD patients with no endocarditis history
- Surgery is generally reserved for large VSDs with clinical symptoms
- Eisenmenger disease: shunt reversal
- Congenital heart defects only account for 2% of heart disease in adults. They are low-yield

Photo credit: Centers for Disease Control and Prevention, Public domain, via Wikimedia Commons
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 Extra
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Picmonic
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Pixorize
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Physeo
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OME
Additional Resources
Atlas:
One by one
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