Abstract
Ventricular septal defects in adulthood only account for 10 per cent of congenital heart defects, In patients with evidence of LV volume overload and no Pulmonary Arterial Hypertension (no non-invasive signs of Pulmonary artery pressure elevation or invasive confirmation of Pulmonary Vascular Resistance <3 Woods Units in case of such signs), VSD closure is recommended regardless of symptoms. “Maladie de Rogers” is referred to as a VSD with a small left-to-right shunt, the pulmonary vascular resistance is not significantly elevated and the left-to-right shunt is small (Qp: Qs <1.5:1), in the absence of aortic valve prolapse and regurgitation or Infective endocarditis, may be managed by observation without need for operative intervention.
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