Define "repaired" congenital heart dz and which defects fall into this category.
No impact on pt's longevity, physical status or need for further medical care.
repair of secundum ASD in 1st decade
uncomplicated VSD in first yr (possibly)
Ventricular septal defect (VSD) causes a __ --> ___ shunt. This is the _____ _______ ______, found in 16.6% of CHD.. Repair invlolves _______ of defect, commonly with ______ _____.
Most common defect
Describe why VSD can cause CHF:
After birth, PVR will fall, and therefor RV will fall. This decrease (along with increasing systemic pressure) causes an increased gradient btw the L and R ventricles and blood will flow back into R from L side.
CHF occurs when Qp is 2x Qs.
What side effects are seen if VSD is repaired later in life?