What is the success rate for VSD surgery?

Surgical closure of VSDs did not become a widespread procedure until the 1960s, so long-term data on outcomes and life expectancy is only now being collected and analyzed. Available data indicate that adults with closed VSDs and without other heart or lung complications can expect to live a normal lifespan. In the 40 years that the operation has been widely used, about 6 percent of patients have required a re-operation to close small leaks that developed around the patch.

Are there any long term problems or complications after surgery?

Within the first six months after surgical repair of a VSD, the person still has a risk of endocarditis while the heart heals. Your cardiologist can advise you on how to protect yourself from this life-threatening condition.People with repaired VSDs may develop cardiac arrhythmias later in life, caused by scar tissue that develops ion the heart from the VSD surgery. Several effective treatments are available for arrhythmias; your cardiologist can advise whether your arrhythmia requires treatment. The risk of arrhythmias and sudden cardiac death is higher in patients who have undergone VSD repair late in life.

What type of ongoing follow up is required after surgery?

People with repaired VSDs who do not have other heart problems and those with small, unrepaired, asymptomatic VSDs should have a regular examination by a cardiologist, but usually do not need to see an adult congenital heart disease specialist on a regular basis. Those who have other congenital abnormalities or experience cardiac complications after VSD repair, such as valve disease, coarctation of the aorta, or aortic regurgitation, or lung problems should continue to see a specialist in adult congenital heart disease.

Last reviewed by a Cleveland Clinic medical professional on 07/18/2019.

References

References

  • Darst JR, Collins KK, Miyamoto SDCardiovascular Diseases. In: Hay WW, Jr., Levin MJ, Deterding RR, Abzug MJ. eds. CURRENT Diagnosis & Treatment: Pediatrics, 22e. New York, NY: McGraw-Hill; 2013.
  • American Heart Association. About Congenital Heart Defects Accessed 3/12/2015.
  • Centers for Disease Control and Prevention. Facts about Congenital Heart Defects Accessed 3/12/2015.
  • National Heart, Lung, and Blood Institute. What are Congenital Heart Defects? Accessed 3/12/2015.
  • Hirsh JC, Devaney EJ, Ohye RG, Bove EL. Chapter 19B. The Heart: II. Congenital Heart Disease. In: Doherty GM. eds. CURRENT Diagnosis & Treatment: Surgery, 13e. New York, NY: McGraw-Hill; 2010.

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