RT Book, Section
A1 Bianchi, Diana W.
A1 Crombleholme, Timothy M.
A1 D'Alton, Mary E.
A1 Malone, Fergal D.
SR Print(0)
ID 1106397871
T1 Ventricular Septal Defects
T2 Fetology: Diagnosis and Management of the Fetal Patient, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-144201-5
LK obgyn.mhmedical.com/content.aspx?aid=1106397871
RD 2024/04/25
AB Key  PointsVentricular  septal  defects  are  the  most  common  congential  cardiac  malformations,  and  often  occur  as  part  of  more  complex  abnormalities,  such  as  tetralogy  of  Fallot  or  transposition.Prenatal  diagnosis  should  be  straightforward  using  a  long  axis  view  of  the  ventricles,  followed  by  a  short  axis  sweep  from  apex  to  base.Many  isolated  small  VSDs,  especially  of  the  muscular  type,  will  close  spontanteously  in  utero,  or  in  infancy.Significant  VSDs  that  contribute  to  failure  to  thrive,  or  those  associated  with  increased  pulmonary  vascular  flow,  should  be  surgically  repaired  by  6  months  of  age.Recent  advances  in  minimally  invasive  transcatheter  septal  occlusion  devices  hold  great  promise  as  an  alternative  to  open  surgical  repair  with  cardiopulmonary  bypass.