Treatment methods for ventricular septal defect

The article is professionally consulted by Master, Doctor Tran Hong Nhat - Interventional Cardiologist - Cardiovascular Center - Vinmec Central Park International General Hospital.

Ventricular septal defect is the most common congenital heart disease with an incidence of about 25% of congenital heart diseases. If not treated properly, ventricular septal defect will cause many effects on the health and development of the child.

Normally, the heart has 4 chambers: the upper two chambers are the right atrium and the left atrium, and the lower two chambers are the right ventricle and the left ventricle. These chambers will be separated by a partition. However, for patients with ventricular septal defect, the septum of the two ventricles has a septal defect.
Through the hole, a part of the blood in the left heart chamber will flow into the right heart chamber due to higher pressure, resulting in hemodynamic disturbances, causing heart failure, pulmonary hypertension.

Depending on the size of the hole, the child will have different severe symptoms and with large holes, symptoms will appear early.
Common symptoms:
Paleness, irritability, sweating Poor eating, physical retardation. Shortness of breath, rapid and shallow breathing With patients diagnosed late or untreated, the disease will progress with symptoms: pulmonary hypertension, heart failure.

Currently, there are 3 ways to treat ventricular septal defect: medical treatment combined with monitoring, surgical procedure and percutaneous septal closure.
Medical treatment of ventricular septal defect This method is applied to cases of ventricular septal defect with complications: pulmonary arterial hypertension, heart failure ..., requiring stable medical treatment before surgery, or treatment. Medical treatment is only supportive in late stage patients, too indicated for surgery.
Those who have not had surgery need prophylactic treatment of infectious endocarditis complications before performing invasive procedures such as tooth extraction ...
Treatment of ventricular septal defect by surgical method Is a patch method septal septal defect by open-heart surgery with the help of extracorporeal circulation. The surgeon uses a patch to patch the hole. With technical improvements, the incision is getting smaller and smaller, helping to increase the aesthetics of the procedure.
Surgery to treat ventricular septal defect at an early stage will help promote its effectiveness and avoid dangerous complications.
Percutaneous ventricular closure is a minimally invasive treatment that uses catheters inserted into the heart to close the stoma. Percutaneous ventricular septal closure is indicated for small ventricular septal defects with appropriate anatomical location.

The ventricular septal defect treatment method at Vinmec International General Hospital has the ability to completely patch the ventricular septal defect to help prevent dangerous complications. With the advantages of the method: helping patients recover quickly, limiting complications and improving the quality of treatment.
Vinmec Central Park Heart Center is one of the key centers of Vinmec Health System, gaining JCI global certificate. In particular, Central Park Cardiovascular Center is the first unit in the country and one of the few hospitals in the world equipped with the most modern hybrid operating room today.
Vinmec Central Park International General Hospital (HCMC) applies a full-service cardiovascular disease treatment model. This is a treatment method being carried out at leading Cardiology Centers in the US and many other developed countries such as Mayo Clinic, Cleveland Clinic, Pennsylvania.... Package Cardiovascular Treatment Program (BUNDLE PAYMENT) ) will be applied with one of four techniques: TAVI intervention; Placement of coronary interventional stents; Aortic bypass surgery and ventricular septal surgery.