What are the complications of ventricular septal defect?

Written by Chen Tian Hua
Cardiology
Updated on November 03, 2024
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The complications of ventricular septal defect mainly include the following: 1. Causes infective endocarditis, with the highest incidence occurring between the ages of 15 and 29; 2. Leads to aortic valve insufficiency; 3. Causes conductive blockages; 4. Leads to heart failure, and can even lead to Eisenmenger syndrome. Therefore, patients with ventricular septal defects should actively complete examinations such as echocardiography. If there are indications for surgery, they should promptly visit a cardiac surgeon for active surgical treatment to correct the anatomical abnormalities of the ventricular septal defect and prevent the condition from worsening and leading to serious consequences.

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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 Chen Tian Hua
Cardiology
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Ventricular septal defect is what?

Ventricular septal defect is a common congenital heart disease, mainly due to the abnormal defect in the ventricular septum during the fetal development, resulting in an abnormal channel between the left and right ventricles. Ventricular septal defect can cause blood to shunt from the left ventricle to the right ventricle, gradually increasing the blood flow in the pulmonary circulation, leading to an increase in the volume load of the left and right ventricles, while causing a decrease in the systemic circulation volume. In the later stages, due to the significant increase in right ventricular pressure, it leads to right-to-left shunting, thereby causing Eisenmenger's syndrome. For ventricular septal defects with a large degree of defect, timely interventional treatment or surgical ventricular septal defect repair is required.

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Written by Di Zhi Yong
Cardiology
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If a ventricular septal defect is not surgically repaired, what will happen?

If the patient has a history of congenital heart disease, especially ventricular septal defect, it can lead to symptoms such as palpitations and chest tightness. The current recommendation for treatment is primarily symptomatic management; however, it is also advised that patients seek early surgical intervention at a hospital. Medical treatment or drug therapy often does not yield ideal results for this condition, and surgical intervention is necessary to address these symptoms. Currently, minimally invasive surgical treatment can be used. If the patient does not undergo surgery, conditions such as palpitations, chest tightness, and difficulty breathing can occur at any time.

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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 Di Zhi Yong
Cardiology
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Does a ventricular septal defect easily cause hiccups in infants?

The relationship between the two is not very significant. A ventricular septal defect is a type of congenital disease, and currently, surgical treatment is recommended for patients, as medical treatment is not very effective and prone to relapse. For this type of congenital heart disease, it is best to first perform a cardiac echocardiography to make a clear diagnosis. In terms of treatment, early surgical intervention is suggested for patients to thoroughly improve symptoms such as palpitations, chest tightness, and difficulty in breathing. If an infant often experiences hiccupping, it could be a sign that the infant's stomach is not very mature, leading to excessive stomach acid, but this is not significantly related to the ventricular septal defect.