A small defect of the interventricular septum (Tolochinov-rye)

A small defect of the interventricular septum (Tolochinov-Roger's disease) is a relatively favorable congenital heart disease. There are usually no complaints. Childhood development does not interfere with the development of the child, it can be revealed by accidental examination. Heart of normal size. A loud, sharp noise along the left edge of the sternum (III-IV intercostal space) is heard and felt. As a complication, bacterial (infectious) endocarditis with lesions of the edges of the interventricular septal defect or rheumatic endocarditis can develop.
Recognition of a defect is assisted by phonocardiography, echocardiography, in rare cases - cardiac catheterization, angiocardiography, cardiomanometry.