Will the ventricular septal defect in newborns become more serious?

The severity of a newborn's ventricular septal defect depends on the size and location of the defect. Some small defects may close on their own, but larger defects may gradually worsen and require prompt medical evaluation. Treatment options include regular follow-up, medication, and surgical intervention.

1. The severity of ventricular septal defect is closely related to the size and location of the defect. Small defects may close on their own over time and have little effect on heart function. Larger defects may increase the burden on the heart and cause complications such as heart failure and pulmonary hypertension, which require close monitoring.

2. Regular follow-up is an important measure for managing ventricular septal defect. Doctors can evaluate changes in the defect and heart function through cardiac ultrasound, electrocardiogram and other examinations. The frequency of follow-up depends on the severity of the defect and the condition of the child, usually every 3-6 months.

3. Drug treatment is mainly used to relieve symptoms and prevent complications. Diuretics such as furosemide can reduce the burden on the heart, and angiotensin-converting enzyme inhibitors such as captopril can lower blood pressure and reduce the load on the heart. Antibiotics such as amoxicillin can prevent infective endocarditis.

4. Surgical intervention is the main method for treating larger ventricular septal defects. Common surgical methods include transcatheter occlusion, open-chest repair and minimally invasive surgery. Transcatheter occlusion uses a catheter to deliver the occluder to the defect, which is less traumatic and has a quick recovery. Open-chest repair is suitable for complex defects and needs to be performed under extracorporeal circulation. Minimally invasive surgery is performed through a small incision, reducing trauma and recovery time.

5. Postoperative care and rehabilitation are crucial to the recovery of the child. Vital signs need to be closely monitored after surgery to prevent infection and bleeding. During the recovery period, strenuous exercise should be avoided, a balanced diet should be maintained, and heart function should be checked regularly. Psychological support can help children and parents cope with the stress of surgery and recovery.

The severity and treatment of ventricular septal defect in newborns vary from individual to individual. Timely medical treatment and standardized treatment are the key to improving prognosis. Through regular follow-up, drug treatment and surgical intervention, most children can achieve good treatment results and quality of life. Parents should actively cooperate and pay attention to the growth and development and heart function of their children to ensure their healthy growth.