{"id":3462,"date":"2020-05-31T17:33:25","date_gmt":"2020-06-01T00:33:25","guid":{"rendered":"https:\/\/up.physicaldiagnosispdx.com\/up\/?page_id=3462"},"modified":"2021-01-15T09:30:11","modified_gmt":"2021-01-15T17:30:11","slug":"ventricular-septal-defect","status":"publish","type":"page","link":"https:\/\/up.physicaldiagnosispdx.com\/up\/cardiology-multimedia-new\/ventricular-septal-defect\/","title":{"rendered":"Ventricular Septal Defect"},"content":{"rendered":"
[vc_row css=”.vc_custom_1592005964885{background-color: #fff9f9 !important;}”][vc_column][vc_column_text]The VSD murmur is classically a holosystolic murmur similar to mitral regurgitation but located along the lower left sternal border, often with a palpable thrill.\u00a0Flow is left to right (as pressure is higher on the left) but over time this can lead to pulmonary hypertension and reversal of flow, called Eisenmenger\u2019s syndrome.\u00a0We have observed a \u201creverse Carvallo\u2019s sign\u201d phenomenon, whereby the intensity of the murmur lessens during inspiration. We have reasoned that this occurs because the left –> right pressure gradient lessens during inspiration as a result of increased RV blood flow.<\/span><\/p>\n

\u00a0<\/span><\/h4>\n

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Patient 1:<\/h1>\n

This patient has a ventricular septal defect.<\/span>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css=”.vc_custom_1592005987474{background-color: #dcd9dd !important;}”][vc_column width=”1\/2″][vc_column_text]\n

Ventricular Septal Defect<\/span><\/strong>
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