Paediatric Cardiac Care  ·  Pune  ·  Maharashtra
Conditions We Treat

Ventricular Septal Defect (VSD)

The most common congenital heart defect, between the pumping chambers.

What is a VSD?

A ventricular septal defect is a hole in the wall between the heart's two lower chambers — the ventricles, which do the main work of pumping blood to the body and lungs. It is the single most common congenital heart defect.

VSDs vary enormously in size and position. A small VSD may never cause a problem and often closes on its own. A large one lets a significant amount of blood leak from the high-pressure left ventricle into the right side, overloading the lungs and, over time, the heart muscle itself.

Signs that may point to it

A loud murmur, often heard in the first weeks of life
Fast breathing, sweating or tiring during feeds, in a baby with a significant VSD
Poor weight gain
Frequent chest infections
A small VSD is often found only because of a murmur, with the baby otherwise entirely well

How it is diagnosed and treated

An echocardiogram sizes the hole, locates it precisely, and shows its effect on the heart and lung pressures. Many small VSDs are simply watched, since a large proportion close naturally in the first years of life.

A VSD that needs closure may be treated by catheter-delivered device, where its position and the surrounding rim of tissue make that safe, or by surgical closure through our partner hospital network where it does not. Some infants with a large VSD and symptoms need treatment sooner rather than later, which is why early, accurate diagnosis matters.

Common questions

Do all VSDs need closing?
No — small VSDs are common and many close on their own in early childhood. Closure is recommended when a defect is large enough to strain the heart or lungs.
Can a VSD be closed without surgery?
Some can, by catheter-delivered device — it depends on the size, position and the tissue rim around the hole. We assess this on echocardiogram and discuss the safest route with you.
Is a VSD dangerous for a newborn?
A small one usually is not. A large VSD in a newborn can cause breathlessness and poor feeding and needs closer monitoring and, often, earlier treatment.

Questions About Your Child?

Call us, or come in with the report you have been given. We would rather answer a question than have you worry about it.