Innocent Murmur since Childhood: Elderly Patient with Undiagnosed Interventricular Septal Defect
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2022, Vol 2, Issue 09
Abstract
Ventricularseptal defects in adulthood only accountfor10 per centof congenital heart defects, In patients with evidence of LV volume overloadand no Pulmonary Arterial Hypertension(no non-invasive signs of Pulmonary artery pressureelevation or invasive confirmation of Pulmonary Vascular Resistance<3 Woods Unitsin case of such signs), VSD closure is recommended regardless of symptoms.“Maladie de Rogers” is referred to as a VSD with a small left-to-rightshunt, the pulmonary vascular resistance is not significantly elevated and the left-to-rightshunt is small (Qp:Qs <1.5:1), in the absence of aortic valve prolapse and regurgitation or Infective endocarditis, may be managed by observation without need for operative intervention
Authors and Affiliations
Alejandra SánchezMartínez, Joséde JesúsValdivia Nuno
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