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Echocardiographic evaluation of ventricular septal defects

Author
Ann Kavanaugh-McHugh, MD
Section Editor
Warren J Manning, MD
Deputy Editor
Brian C Downey, MD, FACC

INTRODUCTION

A ventricular septal defect (VSD) is one of the most common congenital cardiac abnormalities in the newborn, but it is less common in the adult due to spontaneous closure of most muscular VSDs during early growth. It can occur as an isolated finding or in combination with other congenital defects. VSD can also be an acquired disorder, occurring after acute myocardial infarction or chest wall trauma. (See "Mechanical complications of acute myocardial infarction".)

The echocardiographic evaluation of VSD will be reviewed here. Alternative imaging modalities for assessing VSDs, as well as the pathophysiology and clinical features of this defect, are discussed separately. (See "Clinical utility of cardiovascular magnetic resonance imaging", section on 'Congenital heart disease' and "Pathophysiology and clinical features of isolated ventricular septal defects in infants and children".)

ECHOCARDIOGRAPHIC EVALUATION

Echocardiography is valuable not only in diagnosing VSDs but also in the percutaneous and surgical treatment of these defects [1]. Echocardiographic evaluation of VSDs includes:

Identification of the location of defects on the septum

Establishing the number of defects

           

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Literature review current through: Nov 2016. | This topic last updated: Fri Oct 07 00:00:00 GMT+00:00 2016.
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