What should be done about congenital ventricular septal defect?

Patient's question:

The child has no obvious symptoms, but it has been detected that there is a congenital ventricular septal defect. The child is now three years old and it has not naturally closed. Approximately when would be the best time to have surgery?

Doctor's answer:

Congenital ventricular septal defect (VSD) is a common congenital heart defect in clinical practice, usually presenting as a single malformation. The treatment of this condition depends on the child's age and the extent of the defect. If the VSD is congenital in a newborn and the defect is small without significant clinical symptoms, no specific treatment may be necessary. Some children may spontaneously close the defect around their first birthday, but it is important to pay attention to nutritional intake and infection prevention in daily life. If the child exhibits obvious hemodynamic changes or a large defect area, which is prone to complications associated with VSD, such as infective endocarditis, aortic valve insufficiency, or conduction block, the impact on health is significant, and surgical treatment is generally recommended.

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