Abstract
This study confirmed the fact that a large majority of isolated VSDs (74%) detected in utero will spontaneously close. Spontaneous closure rates were higher in utero than those detected in infants or children. Isolated VSDs detected in utero did not contribute to fetal morbidity and mortality. There is no correlation between the size of the defect and the probability of closure of the defect. Because of the high spontaneous closure rate of VSDs in utero and the lack of increased morbidity, parental anxiety can be allayed or minimized. For these reasons, close follow-up in utero is not necessary, and reevaluation can be done at birth.
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