Ventricular septal defect refers to a defect in the ventricular septum, the wall dividing the left and right ventricles of the heart.

Written by Zhang Zhi Gong
Cardiothoracic Surgery
Updated on September 21, 2024
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A normal human heart is divided into four chambers: the left ventricle, right ventricle, left atrium, and right atrium. The circulation in a normal person involves venous blood entering the right atrium, passing through the mitral valve into the right ventricle. The right ventricle then contracts and pumps blood into the lungs. After exchanging gases and becoming oxygenated, the blood turns bright red. It then returns to the left atrium. From the left atrium, blood passes through the mitral valve back into the left ventricle, and then the left ventricle contracts and pumps blood throughout the body. Therefore, there is a thick wall between the normal left and right ventricles, known as the ventricular septum. If due to congenital heart disease or other reasons, a small hole appears in the ventricular septum, it is called a ventricular septal defect. If this defect is large, it necessitates active surgical treatment because if the defect exists, the pressure of the blood flow in the left ventricle is higher, causing a large amount of abnormal blood to enter the right ventricle. This leads to a significant accumulation of blood in the right ventricle, causing the patient to have too much blood in the pulmonary circulation, making the patient prone to recurrent colds and infections. Furthermore, these children may easily develop heart failure and even life-threatening conditions such as infective endocarditis.

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Written by Zhang Zhi Gong
Cardiothoracic Surgery
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Ventricular septal defect refers to a defect in the ventricular septum, the wall dividing the left and right ventricles of the heart.

A normal human heart is divided into four chambers: the left ventricle, right ventricle, left atrium, and right atrium. The circulation in a normal person involves venous blood entering the right atrium, passing through the mitral valve into the right ventricle. The right ventricle then contracts and pumps blood into the lungs. After exchanging gases and becoming oxygenated, the blood turns bright red. It then returns to the left atrium. From the left atrium, blood passes through the mitral valve back into the left ventricle, and then the left ventricle contracts and pumps blood throughout the body. Therefore, there is a thick wall between the normal left and right ventricles, known as the ventricular septum. If due to congenital heart disease or other reasons, a small hole appears in the ventricular septum, it is called a ventricular septal defect. If this defect is large, it necessitates active surgical treatment because if the defect exists, the pressure of the blood flow in the left ventricle is higher, causing a large amount of abnormal blood to enter the right ventricle. This leads to a significant accumulation of blood in the right ventricle, causing the patient to have too much blood in the pulmonary circulation, making the patient prone to recurrent colds and infections. Furthermore, these children may easily develop heart failure and even life-threatening conditions such as infective endocarditis.

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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 Chen Tian Hua
Cardiology
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What are the complications of ventricular septal defect?

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 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 Zhang Zhi Gong
Cardiothoracic Surgery
1min 19sec home-news-image

Symptoms of ventricular septal defect

The main symptoms of a ventricular septal defect depend on the size of the defect and the age of the patient. Generally, smaller ventricular septal defects, such as those measuring only one to two millimeters, result in very little shunting from the left ventricular system to the right ventricular system. This is akin to a tiny amount of air seeping through a crack in a window or door. In such cases, the patient typically does not exhibit noticeable symptoms. However, if the defect is larger, over five millimeters, a significant amount of blood passes from the left ventricular system into the right ventricular system, which can cause substantial congestion in the right or both lungs of the right ventricular system, or lead to recurrent respiratory infections and congestive heart failure. The affected individual may show disinterest in eating, feeding difficulties, and delayed development. As the patient grows older, they may exhibit reduced activity endurance, fatigue or palpitations, and shortness of breath. Gradually, cyanosis and right heart failure may develop. Additionally, patients are at risk of developing infective endocarditis, fever without symptoms, and recurring fever.