Ventricular Septal Defect

Ventricular Septal Defect

1. Decrease in pulmonary vascular resistance compared to systemic vascular resistance in the weeks after birth results in left-to-right shunting through the VSD. Increased pulmonary blood flow, pulmonary hypertension, and progressive pulmonary vascular disease can occur over time.

2. S/S

   • Some asymptomatic
   • Loud, harsh systolic murmur
     • depending on degree of shunting and size of defect.
   • palpable thrill
   • diastolic murmur
   • gallop rhythm
   • HF

3. Nursing Interventions

   • Diuretics
   • management of associated HF
   • Interventional Cardiac Catheterization
   • Surgery
     • suture or patch