Can girls with ventricular septal defect have children?

Written by Di Zhi Yong
Cardiology
Updated on September 05, 2024
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Because ventricular septal defect is a type of congenital heart disease, it is currently recommended that patients undergo surgical treatment. With active treatment, this disease can be cured. Once cured, the patient's symptoms will subside, and no murmur can be heard in the precordial area, and it is possible to choose to have children in this situation.

If this condition is not dealt with promptly, it is not recommended to have children. This is because it can cause an excessive load on the heart, especially when the blood volume increases, leading to occurrences of ischemia and hypoxia, which are very dangerous. If treated, especially within a year after surgery, it is possible to consider having children, but there are certain risks.

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Written by Li Hai Wen
Cardiology
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Can an 8mm ventricular septal defect heal by itself?

The ventricular septal defect is 8 millimeters, which is considered a medium-sized defect. This type of defect is relatively large and will not heal on its own. Moreover, this ventricular septal defect requires timely surgical treatment, and close observation is needed in daily life. If the child is prone to catching colds, leading to repeated pneumonia, then prompt surgical treatment is necessary without delay. If the child's growth and development are not affected and there are no repeated incidents of pneumonia, close monitoring can be considered. Surgery to repair the ventricular septal defect can be considered after the child reaches two years of age. Otherwise, if delayed, it may lead to heart failure and complications such as pulmonary hypertension, severely affecting the quality of life and endangering the patient's safety.

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Written by Di Zhi Yong
Cardiology
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Can people with ventricular septal defect swim?

If the patient has a ventricular septal defect, swimming can lead to ischemia and hypoxia, and thus, it is not advisable for the patient to swim. If symptoms such as palpitations or breathing difficulties occur, this can be very dangerous, and I would personally advise against going into the water. It is also crucial to actively treat this congenital heart disease. I suggest that the patient should undergo a cardiac echocardiography at a hospital for a clearer diagnosis. Currently, the treatment mainly focuses on symptomatic treatment, and it is recommended that the patient considers surgical options to alleviate the suffering and improve the condition. During this period, attention should also be paid to a healthy diet, especially avoiding spicy and stimulating foods.

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Written by Xie Zhi Hong
Cardiology
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What would happen if the ventricular septal defect occluder dislodges?

An occluder generally works like two umbrella surfaces clamped over the orifice of the interventricular septal defect, achieving the method whereby tissue blood flow enters from the left side of the septum to the right side. Once an occluder dislodges, it can lead to a dangerous situation, as the occluder has a membrane that can easily get caught on the tendons of the mitral valve, causing severe mitral regurgitation; it can also get stuck at the mitral valve orifice, obstructing the outflow of blood; it may also lead to aortic valve insufficiency; if it gets caught in the major arteries, it can cause arterial embolism, leading to sudden death in the patient. Therefore, the dislodgement of an occluder is a very dangerous phenomenon.

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Written by Xie Zhi Hong
Cardiology
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Is ventricular septal defect related to premature birth?

Generally, premature birth is not related to ventricular septal defect. Although a premature infant is born early, their heart structure, lungs, and other body structures are normal. Ventricular septal defect is often caused by a developmental disorder of the septum during the fetal period, manifesting as left-to-right or right-to-left shunting. Generally, patients with a simple ventricular septal defect can survive normally. They can be completely cured through interventional treatment or surgical surgery, so there is no need to worry excessively. There is no direct connection between ventricular septal defect and premature birth.

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Written by Xie Zhi Hong
Cardiology
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Is perimembranous ventricular septal defect serious?

The ventricles are separated by the interventricular septum, which divides the left and right ventricles. Typically, after blood is ejected from the left ventricle and oxygenated by tissues, it returns to the right ventricle. The blood from the right ventricle gets oxygenated through the pulmonary artery before it can return to the left ventricle. These two should be isolated from each other before passing through the lungs. The interventricular septum consists of the membranous and muscular parts, and a defect in either part can affect oxygenation. Therefore, whether the defect is in the membranous or muscular portion is not an indicator for diagnosing the severity of the interventricular septum defect; rather, the size of the defect should be considered. Generally speaking, a defect of about 10mm in the interventricular septum, especially when accompanied by other conditions such as Tetralogy of Fallot, is considered severe. Moreover, when the defect reaches over 10mm, surgical intervention is required as minimally invasive surgery would not be feasible; these are considered severe interventricular septum defects. Also, there are cases with multiple complex defects or larger defects that should be surgically treated as soon as possible.