VSD, otherwise called a vascular septal defect, is a congenital defect or hole in the heart wall that separated the lower two chambers of the heart. This hole lets blood leak from one ventricle to another, which results in blood flowing back to the lungs, making the heart pump blood harder.

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My 23-year-old sister with ventricular septal defect has very high hemoglobin levels and is coughing black blood. Please advise.

Query: Hello doctor, My sister has had a ventricular septal defect since birth. She is 23 years old now. There are not many symptoms being shown except tachypnea on working hard, walking to some distance, and going upstairs. In the last three months, her cough has shown some blackish blood, and her recent ...  Read Full »

Dr. Vivek S Narayan Pillai

Answer: Hello, Welcome to icliniq.com. I have gone through your sister's reports (the attachments have been removed to protect the patient's identity). Unfortunately, her VSD (ventricular septal defect) is at a point where closure is not possible due to high pressures on the right side of the heart. The hig...  Read Full »

Does size of perimembranous VSD matter?

Query: Hello doctor, My baby was diagnosed with 4 mm VSD during the 20th week of pregnancy. After delivery, an echocardiogram was done, and our pediatric cardiologist told me that my baby had large perimembranous VSD shunting bidirectionally. But did not tell us the size. My baby is three months old now. I...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Yes, size matters small VSDs (ventricular septal defect) do not require treatment, while large ones (usually more than 6 mm of the size of the aorta) need surgical correction only. So here it is being large and has no significant gradient across it, so it needs surgica...  Read Full »

Can prevailing heart problem cause vomiting, urine problem and fatty liver in a 6-year-old kid?

Query: Hello doctor, My 6-year-old son has a diaphragm problem. He has a heart problem post operated for VSD and having pacemaker from his 11th month. Now he have a new problem like vomiting, urine problem, fatty liver, gall bladder wall thickening, mega cardio, 30 percent heart function only. What is the...  Read Full »

Dr. Mian Shah Yousaf

Answer: Hello, Welcome to icliniq.com. I am very much concerned about all the problems your son is going through. Now, he has a few different issues overall not a single problem. His urinary problem looks like due to inflammation of urinary bladder called cystitis, which needs investigation of urine and ...  Read Full »

How does Tetralogy of Fallot affect heart function?

Query: Hello doctor, In Tetralogy of Fallot, after systemic to pulmonary artery shunt is done, the mixed-blood goes through the pulmonary artery, then to the lungs to get oxygenated. This blood gets oxygenated, then enters the heart through the pulmonary vein. Now is it the same mechanism happening? So ho...  Read Full »

Dr. Anoop Mathew

Answer: Hello, Welcome to icliniq.com. I am a cardiologist, and I am glad to clarify your doubt. In Tetrology of Fallot, the defect between the two ventricles is significant and non-restrictive. Hence both ventricles will function at the same pressure. Also, the aorta lies directly above the ventricular s...  Read Full »

Will a 3 mm hole in the heart of a baby close on its own?

Query: Hi doctor, I had twins, a baby boy and girl. They were born at 34th week. The baby girl is doing fine. The baby boy has lung surfactant and he is fine now, but after echo test, the echo doctor said that 3 mm hole is there in his heart, but he says it is normal and will close naturally. Please sugge...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Yes, your doctor has said right (attachment removed to protect patient identity). Usually ventricular septal defects, especially if small and muscular, close on itself over time. If there are no symptoms like turning blue or black, difficulty in breathing, recurrent che...  Read Full »

What is VSD?

Query: Hi doctor, My daughter is 28 days old. During her normal check up, after Doppler echocardiography it is found that she has a small VSD. The doctor said that it is normal and generally by a year it will get cured. But, I would like to have a second opinion with you. Please help.  Read Full »

Dr. Nagasirisha Naredla

Answer: Hi, Welcome to icliniq.com. I have gone through the report (attachment removed to protect patient identity). Let me try to explain you the diagnosis. VSD- ventricular septal defect, is a communication between the lower chambers of the heart, which in normal should not be present. The problem with VS...  Read Full »

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