TY  - CHAP
M1  - Book, Section
TI  - Ventricular Septal Defect (VSD), Congenital
A1  - Doherty, Gerard M.
Y1  - 2010
N1  - 
T2  - Quick Answers Surgery
AB  - •  A  congenital  heart  lesion  that  increases  pulmonary  arterial  blood  flow•  Results  in  left-to-right  shunt,  results  in  lung  infection,  pulmonary  vascular  congestion,  pulmonary  artery  (PA)  hypertension,  right  heart  failure,  pulmonary  vasoconstriction,  pulmonary  vascular  obstructive  disease•  Eisenmenger  syndrome:  Increased  pulmonary  hypertension  such  that  left-to-right  shunt  ceases  and  shunt  becomes  right-to-left,  requiring  heart-lung  transplant•  Inhaled  nitric  oxide,  oxygen,  or  IV  tolazoline  reverses  PA  vasoconstriction•  PA  band  is  palliative  and  can  reduce  PA  flow  to  alleviate  RV  failure  and  progression  of  pulmonary  hypertension•  Defects  occur  in  4  anatomic  positions-Perimembranous  septum  (85%),  anterior  to  crista  supraventricularis,  beneath  leaflet  of  tricuspid  valve,  or  muscular  septum•  Often  associated  with  more  complex  defects:  Truncus  arteriosus,  AV  canal  defect,  tetralogy  of  Fallot,  transposition  of  great  arteries•  Isolated  perimembranous  defects  may  have  associated  patent  ductus  arteriosus  (PDA),  aortic  coarctation•  Supracristal  defects  may  have  aortic  regurgitation  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=58105489
ER  -