What is Ventricular septal defect (VSD)
Ventricular septal defect (VSD) is a flaw in the ventricular septum, the wall dividing the right and left ventricles of the heart. The ventricular septum comprises of an inferior muscular and superior membranous portion and is largely innervated with conducting cardiomyocytes. The membranous part, which is close to the atrioventricular node, is most commonly affected in adults and elder children in the United States. It is also the kind that will most commonly require surgical interference, comprising over 80% of similar cases. Membranous ventricular septal defect are more common than muscular ventricular septal defects, and are the most common congenital cardiac anomaly.
Success rate
Closures are successful in more than 9 out of 10 patients. The success rate in these surgeries is high and safe.
Care after the procedure
Depending on the location of the VSD, the child's paediatric cardiologist will examine the child periodically to look for uncommon problems, such as a leak in the aortic valve. Rarely, elder children with small VSDs may require surgery if they develop a leak in this heart's valve. After surgery to close a VSD, a paediatric cardiologist will examine the child regularly. The cardiologist will ensure that the heart is working normally. The long-term outlook is good and usually no medicines or additional surgery are needed.
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Cardiac Sciences | Adult CTVS (Cardiothoracic and Vascular Surgery)
Dr. Z. S. Meharwal is part of the founding team of doctors at Fortis Escorts Heart Institute. He has more than 30years of experience in cardiac surgery with over 30,000 surgeries to his credit, including complex heart operations. He is pioneering in many new cardiac operations in the country . Dr. Meharwal is amongst few cardiac surgeons performing heart transplantation and ventricular assist devices implantation . Dr . Mehrwal has been actively involved with teaching and training . He is the Program Director of DNB Cardiothoracic Surgery at Forts Escorts Heart Institute. Dr. Mehrwal has received many awards including President's award for his contribution in the field of Cardiac Surgery.
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Paediatric Cardiac Surgery
Dr. Krishna S Iyer is is Executive Director in Paediatric Cardiac Surgery and is one of India's most experienced pediatric cardiac surgeons, recognised for his clinical expertise and involvement with cardiac care for children in India and other developing nations.
After his medical training he joined the faculty of cardiac surgery department of AIIMS, New Delhi. He then trained in infant cardiac surgery in Australia and then established neonatal cardiac surgery at AIIMS.
Dr. Iyer began the first dedicated pediatric cardiac care program in North India at EHIRC ( now FEHI ) in 1995. Under his guidance, this pediatric cardiac program has become the benchmark for cardiac care for children in India and its South East Asian neighbours. Dr. Iyer has operated on more than 14,000 patients with congenital heart diseases from all parts of India and International patients from over 15 countries. He has performed the first successful rapid two stage arterial switch and double-switch operation in India.
He has more than hundred research publications in national and international journals and travels extensively to cities across India and abroad to deliver lectures.
He has been the Founder President of Asia-Pacific Pediatric Cardiac Society, Society of Pediatric and Congenital Heart Surgeons and President of Pediatric Cardiac Society of India.
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