Obesity in Patient with Grown Up Congenital Heart Disease Ventricular Septal Defect with Pulmonary Hypertension in Sanglah Hospital, Bali, Indonesia

Abstract

Ventricular septal defect (VSD) is a congenital heart disease (CHD) which characterized by
a hole in the wall that separate between the right and left ventricle. There are several types
of VSD based on its location, which are perimembranous/conoventricular, subpulmonary/
conotruncal, supracristal/doubly commited, muscular and atrioventricular canal/inlet. A
VSD is one of the most common CHD which occurs in approximately 2-6 of every 1,000
live births and accounts for more than 20% of all CHDs. However, the population of VSD
patients with grown up congenital heart disease (GUCH) is still uncertain. We are presenting
a rare case of a 19 year old patient with congestive heart failure NYHA functional class IV
due to uncorrected left-to-right shunt supracristal VSD with body mass index of 35.5 kg/
m2. He presented in the emergency room with acute decompensated heart failure profile
B. Echocardiography revealed decreased left ventricle (LV) systolic function, normal right
ventricle (RV) systolic function, decreased LV diastolic function, and dilated left atrium
and LV. We plan to perform right heart catheterisation and pulmonary artery oxygen
responsiveness test followed by VSD closure in this patient. Another explanation will be
discussed in this paper.