Practice Quiz

CMC Cardiac Medicine Certification

Category - CMC

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Choose the correct statement about ventricular septal defect (VSD).
  1. Surgical repair should be delayed until puberty
  2. VSD is most frequent in the muscular part of septum
  3. Child usually has pulmonary oligemia
  4. Transcatheter closure can be performed only for muscular defects
Explanation
Answer- D - The correct statement about VSD is transcatheter closure can be performed for muscular defects only.
Ventricular septal defect (VSD):
•Occur most frequently in the membranous septum (80%)
•The child will present with pulmonary vascular congestion and recurrent respiratory infections due to excessive pulmonary blood flow
•Indications for surgery: repair should be performed by age 1 in all patients with a significant shunt or LV volume overload
•Surgical procedures: pulmonary artery banding (to reduce pulmonary blood flow if other associated complex lesions), direct suture, patch closure, transcatheter closure (for muscular defects only)
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