The indications to close a ventricular septal defect include: Qp/Qs is > 1.5 and there is LV systolic or diastolic dysfunction causing clinical heart failure. Prior endocarditis on the VSD Qp/Qs ...
4. When the Qp/Qs is > 2 and there is evidence of volume overload of the LV 5. When acute VSD develops after myocardial infarction If Eisenmenger’s syndrome is present, closure of a VSD is NOT ...