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Congenital Heart Disease – Septal Defects

Written by Padma Sundareson | Medically Reviewed by Dr. Sunil Shroff, MBBS, MS, FRCS (UK), D. Urol (Lond) on Jul 22, 2016
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Heart diseases that are present at birth are called "Congenital heart diseases" and there are over 35 different such heart problems that may be discovered in a newborn. Some of these require no treatment as they are self correcting while others may require either minor or major reconstructive surgery of the heart.

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Hence if your newborn baby or child is diagnosed with heart disease do not get worried until you find out the extent of the problem. Remember 8 to 10 babies out of 1000 live births have congenital heart disease.

Congenital heart diseases can either cause obstruction of blood flow in the heart or abnormal pattern of blood flow through the heart. In rare cases certain structures of the heart may not develop completely. Hence depending on the defect it can be either structural or functional problem.

Many of the heart defects can be discovered during the prenatal period and a decision taken if necessary to abort the baby.

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Congenital heart disease can be broadly classified as "Cyanotic" or "Acyanotic". Certain congenital heart defects can lead to inadequate oxygenation of blood causing bluish discoloration of skin. This is termed as Cyanosis. The babies born with cyanosis are usually called "Blue babies". Deoxygenated blood from the right side of the heart mixes with the oxygenated blood of the left side. Cyanosis may show at birth, infancy or later in childhood. Most children with cyanotic heart disease need palliative surgeries, or open-heart surgery at an early age.

Absence of the bluish discoloration in congenital heart defects is called acyanosis. Some of the acyanotic heart defects are Atrial Septal Defect (ASD), Ventricular Septal Defect (VSD), Patent Ductus Arteriosus (PDA), Aortic Stenosis (AS), Pulmonary Stenosis (PS) and Coarctation of Aorta (COA). These conditions may not manifest themselves at birth. Some infants with acyanotic heart diseases fail to thrive and have breathing difficulties. Treatment may depend on the severity of the disease and symptoms.

A cardiac murmur is an extra whooshing sound during the heartbeat due to the turbulence of blood flow in the heart or blood vessels.

Link - Listen to/Download

  • Listen to Normal Heart Sound
  • Listen to Atrial Septal Defect (ASD) Murmur
  • Listen to Ventricular Septal Defect (VSD) Murmur
Ventricular Septal Defect
  1. http://medind.nic.in/icb/t05/i7/icbt05i7p595.pdf - (http://medind.nic.in/icb/t05/i7/icbt05i7p595.pdf)
  2. CIRCULATORY CHANGES AT BIRTH - (http://mcb.berkeley.edu/courses/mcb135e/fetal.html)
  3. KidsHealth - (http://www.kidshealth.org/)

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Latest Publications and Research on Congenital Heart Disease


Do you wish to consult a Cardiologist for your problem? Ask your question

Dr. Srinivasa Prasad
Dr. Srinivasa Prasad
MBBS, MD, DM Cardiology, Post DM Fellowship, FSCAI
21 years experience
Apoorva Superspeciality Medical Centre, Jayanagar, Bangalore
Dr. Paresh Patel
Dr. Paresh Patel
MBBS, DNB
8 years experience
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Post a Comment

Comments should be on the topic and should not be abusive. The editorial team reserves the right to review and moderate the comments posted on the site.

Comments

Angel_C

I have VSD since birth [Tetralogy of Fallot] and I'm now 29 years old, I'm aware that I'm not allowed to do any strenuous activities but is yoga allowable for me? I can't afford to go to a doctor. I'm from a 3rd world country in Asia.

motisagar

HOLE IN HEART IN MY COSION HEART ,I HAVE NO MORE MONEY FOR SURGERY.MY BABY LIE ON BED AND WAITING FOR DEATH.PLEASE SUGGEST ME FOR SOME WELFARE SOSITY ,WHO HEALP MY CHILD.

Man56

dear friend, why don't u try get BPL [below poverty line]card, once this card made i belive free medicins and treatment avilable at all govt hospitals.

RameshRaju

get it done in Sathyasai Institute of Medical sciences in Bangalore.. They will do for free..

Kuotkuany

Well and briefly explained; VSD account for upto 25% of all Cardiac Heart Failure, which simply means that 2 out of 1000 lives birth are affected. Isolated complex malformations do happened and lower left sternal edge with/or without parasternal thrill is encountered mostly during examination. Yeah/and ballabalala....

manuheart123

Ventricular Septal Defect Ventricular Septal Defect is usually symptomless at birth. It usually manifests a few weeks after birth. Small VSD can be asymptomatic, but larger ones can result in heart failure, pulmonary hypertension or growth restriction with recurrent respiratory infections like pneumonia. Other features may be poor weight gain, breathlessness on breast feeding and increased heart rate. If not intervened, it can develop into Eisenmenger Syndrome, which has a very bad outcome. http://heart-consult.com

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