OBJECTIVE: Ventricular septal defect (VSD) is the most common congenital heart defect.
Presentation of VSD depends upon location and size defect. Based on the size, VSD is
divided into small, moderate, and large defect. The aim of this study is to describe the type,
defect size, and clinical profile of VSD at Dr. Mohammad Hoesin Hospital.
METHOD: This study is a descriptive study of echocardiographic review at Dr. Mohammad
Hoesin Hospital, Palembang. The data were collected from March 2014 through April 2019.
Children aged 1 month to 18 years with a clinical diagnosis of VSD were evaluated by
echocardiography to confirm the diagnosis. Data was entered and analyzed using SPSS
version 22.0.
RESULT: Total of 532 children was enrolled, 296(55.6%) were boys and 225(42.3%) were
girls. The mean age was 35.83 (SD 39.47) months with most patients was in 1-3 years old
age group. The mean weight was 11.07 (SD 9.85) kg and height 82.44 (SD 30.29) cm, with
severe malnutrition diagnosed in 134(25.2%), wasted in 273(51.3%), and normal in
125(23.5%) cases. The types of VSD were perimembranous 334(62.8%), doubly committed
128(24%), inlet 28(5.3%), muscular 20(3.8%), DCSA 17(3.2%), and sub-pulmonic 5(0.9%).
The sizes of VSD in 36(6.7%) patients were small, 219(41.3%) patients were moderate, and
277(52%) patients were large. Among all of these patients has been done defect closure
161(30.3%) of cases, which are conducted by surgical closure in 90(55.9%) cases, trans-
catheter closure 47(29%) cases, and hybrid 24(14.9%) cases.
CONCLUSION: This study shows that VSD more common in males with perimembranous
type and large sized. Diagnosis was too late in a large number of children. Malnutrition is one
of complicating problem that found in VSD, more than half cases in this study with wasted
nutritional status.