Is ventricular septal defect related to premature birth?

Written by Xie Zhi Hong
Cardiology
Updated on December 18, 2024
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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 Di Zhi Yong
Cardiology
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Why does a ventricular septal defect cause respiratory infections?

Because ventricular septal defect is a type of congenital heart disease, it mainly leads to pulmonary infections in children, often causing respiratory infections. If this condition is not treated in time, it can worsen the symptoms, decrease the child's resistance, and lead to frequent respiratory diseases. Early surgical treatment is recommended to improve the child's symptoms. It is also important to monitor the child's breathing, heart rate, and pulse changes, and it is advisable to regularly revisit the hospital for an echocardiogram. Early surgical treatment is recommended as it can completely cure the disease.

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Written by Li Hai Wen
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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 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.

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Written by Chen Tian Hua
Cardiology
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Can a ventricular septal defect heal by itself?

Some ventricular septal defects can heal on their own. For ventricular septal defects smaller than five millimeters, some patients can heal on their own; the defects that generally heal are those in the membranous and muscular parts of the septum, and the younger the age, the greater the likelihood of healing. If the ventricular septal defect still exists after the age of five, it generally cannot heal on its own. For ventricular septal defects that do not heal spontaneously, if they significantly affect hemodynamics, interventional treatment or surgical surgery is needed for repair. If the impact of the ventricular septal defect on hemodynamics is not significant, regular follow-up examinations can be conducted to understand the condition of the disease.

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Written by Zhang Zhi Gong
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Interventricular septal defect X-ray manifestation

X-ray Manifestations of Ventricular Septal Defect. These are mainly related to the size of the defect. If the ventricular septal defect is relatively small, for example less than three millimeters, the amount of blood shunted from the left ventricle to the right ventricular system is minimal. Consequently, right ventricular congestion is not pronounced, making pulmonary congestion also less obvious. At this point, the X-ray may show no significant changes. However, if the defect is larger, greater than three millimeters, for instance five millimeters, a large volume of high-pressure blood from the left ventricle will flow excessively through the defect into the right ventricular system. This leads to significant congestion in the right ventricle and, thus, in the entire pulmonary circulation. Additionally, the X-ray will show a prominent pulmonary artery segment and increased pulmonary blood flow. Moreover, over time, this condition may lead to compensatory enlargement of the left ventricular system. On the X-ray, enlargement of both the right and left ventricles can be observed. Furthermore, due to sustained high pressure, the distal pulmonary arteries may show signs of severe pulmonary vascular disease on the X-ray, resembling a broken book. This indicates that the pulmonary circulation has reached an end-stage condition.