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Thanks to modern-day advances in medical and surgical care, most children born with serious congenital heart defects survive long into adulthood. Congenital heart defects are problems with the heart's structure that are present at birth. Congenital heart defects change the normal flow of blood through the heart. History of Salem Witchcraft: A Review of Charles W. Uphams Great Work A ventricular septal defect (VSD) — sometimes referred to as a hole in the heart — is a type of congenital heart defect in which there is an abnormal opening in the dividing wall between the main pumping chambers of the heart (the ventricles). 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