Ventricular septal defect and associated complications

Tauseef Asma Chaudhry1, Muhammad Younas, Ahsan Baig

  • 1Department of Paediatric Cardiology, Chaudhry Pervaiz Elahi Institute of Cardiology, Multan.

Insights

Perimembranous ventricular septal defects (VSD) are most common in children. Large VSDs frequently cause severe pulmonary hypertension, the most common complication, followed by aortic valve issues.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Defects
  • Echocardiography

Background:

  • Ventricular septal defects (VSD) are common congenital heart anomalies.
  • Understanding the frequency and types of VSDs is crucial for effective management.
  • Associated complications impact patient outcomes.

Purpose of the Study:

  • To determine the frequency of various ventricular septal defect (VSD) types.
  • To identify associated complications in a pediatric population.
  • To analyze demographic data related to VSDs.

Main Methods:

  • A cross-sectional descriptive study analyzed echocardiography data from children under 15.
  • Data included age, gender, VSD type, and complications.
  • SPSS version 11 was used for data analysis.

Main Results:

  • 1276 isolated VSD cases were identified (25% of congenital heart disease patients).
  • Perimembranous VSD was the most frequent type (79.3%).
  • Severe pulmonary hypertension (22.4%), aortic valve prolapse (6.7%), and aortic regurgitation (5.2%) were common complications.

Conclusions:

  • Perimembranous VSD is the predominant type.
  • Large VSDs are strongly associated with severe pulmonary hypertension.
  • Severe pulmonary hypertension, aortic valve prolapse, and aortic regurgitation are the most significant VSD complications.
Abstract

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