ANSWER :PAEDIATRIC MCQ 14:A small ventricular septal defect



14) A small ventricular septal defect is associated with:



A small VSD is classically associated with the holosysolic murmur at the left sternal edge; The
risk of infective endocarditis is greater in haemodynamically insignificant defects. The second
heart sound may be obscured by the murmur, but is normally split. Cyanosis occurs if there is
Eisenmenger’s syndrome. A mid diastolic murmur at the apex is associated with a moderate
sized shunt and increased flow through the left atrium.


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