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🩺 When is a VI/VI murmur in a kitten actually good news? With ventricular septal defects (VSDs), louder doesn’t always mean worse. The pathophysiology of a VSD is driven primarily by two factors: 🔹 the size of the defect 🔹 pulmonary vascular resistance In a restrictive VSD, right ventricular and pulmonary arterial pressures remain lower than left ventricular and aortic pressures. Blood shunts left to right at very high velocity through a small defect. 💨 High-velocity flow creates turbulence
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