The surgical management of this group of patients is controversial and needs to take into account the location of the VSD, the degree of aortic regurgitation, and the patient's age. Hence, for a substrate of patients with small VSDs, the potential for progressive valvular insufficiency necessitates careful consideration and follow-up even after the defect is closed. In general, and taking into account that patients with VSDs constitute one of the first groups to undergo complete intracardiac repair, the overall status of this patient population is good to excellent. Clearly this is encouraging but does not obviate the need for regular supervision and follow-up. I hope you find this information useful.
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