If a ventricular septal defect is not surgically repaired, what will happen?

Written by Di Zhi Yong
Cardiology
Updated on September 22, 2024
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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 ventricular septal defect avoid amniocentesis?

Because ventricular septal defect is a type of congenital heart disease, it is recommended that patients adopt a light diet and especially avoid spicy and stimulating foods due to the condition of ventricular septal defects. It is still recommended to pursue active and early surgical treatment to improve symptoms. If there is poor cardiac function, or symptoms of palpitations and chest tightness occur, amniocentesis should not be performed as it carries certain risks. However, for milder symptoms that can be timely controlled, amniocentesis and other tests may be considered, but it is also necessary to rule out other diseases. If the patient does not have any special diseases in the past, such as coronary heart disease or diabetes, the procedure can be handled.

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Written by Di Zhi Yong
Cardiology
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Can a ventricular septal defect be detected with a regular ultrasound?

Ventricular septal defect is a type of congenital heart disease, and surgical treatment is recommended for patients. Currently, to diagnose this condition, it is advised that patients undergo a cardiac echocardiography rather than just a standard ultrasound, which does not show clear results. Color Doppler ultrasound is the best way to make an accurate diagnosis and therefore determine the appropriate treatment plan. It is possible to see the size and location of the ventricular septal defect, which can significantly aid the treatment planning. Standard ultrasound may not provide a clear view and can sometimes lead to discrepancies, making treatment challenging. During this period, regular follow-up with cardiac echocardiography is still necessary, and early surgery is recommended for patients.

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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 Di Zhi Yong
Cardiology
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Can girls with ventricular septal defect have children?

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 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.