Echocardiographic Study of Ventricular Septal Defect in 1- to 12-Year-Old Children Visiting a Tertiary Care Center in

Amish Kumar1, Pankaj Kumar2

  • 1Department of Anatomy, Indira Gandhi Institute of Medical Sciences, Patna, IND.

Cureus
|November 3, 2023
PubMed

Insights

This study identified common types of ventricular septal defects (VSD) in children using echocardiography. Findings highlight the importance of early VSD diagnosis for preventing serious complications like infective endocarditis.

Area of Science:

  • Pediatric Cardiology
  • Congenital Heart Disease
  • Diagnostic Imaging

Background:

  • Serious congenital heart problems often manifest in early childhood.
  • Ventricular septal defects (VSD) involve abnormal shunting between heart ventricles.
  • Early detection is critical for managing VSD and associated risks.

Purpose of the Study:

  • To identify the most frequent types of ventricular septal defects (VSD) via echocardiography.
  • To investigate potential gender variations in VSD types.
  • To correlate VSD characteristics with clinical presentation and associated anomalies.

Main Methods:

  • Echocardiography with color Doppler was used to evaluate 100 children (1-12 years) with suspected VSD.
  • Assessment included VSD size, location, and involvement of septal components (AV canal, muscular, conal).
  • Data on clinical symptoms, gender, and co-existing congenital anomalies were collected.

Main Results:

  • Fast breathing (65%), chest retraction (62%), and cough (54%) were the most common symptoms.
  • Cyanosis (52%) and fever (54%) were also frequently observed in VSD patients.
  • Echocardiography effectively characterized VSD types and associated morphological changes.

Conclusions:

  • Early diagnosis of VSD is crucial for timely intervention and management.
  • Prompt diagnosis aids in preventing severe sequelae such as infective endocarditis and pulmonary hypertension.
  • Echocardiography is a key tool for classifying VSD and guiding treatment strategies.