Hi Brent, Wow I am so sorry for all you have been through. I can at least kinda understand, I also have a VSD and am 32 yrs old. It was not dx'ed until Sept of this year when doctors also found that I had Bradycardia and Orthostatic Hypotensin. I had to get a pacemaker for the Bradycardia since my heartrate was staying in the low 30 range. The Hypotensin they have yet to figure out. I live in Missouri and there are some execellent doctors here. As for the VSD I have been told as long as I dont smoke or take birthcontrol it should be fine. I know it is scary when they are messing with your heart. Good Luck! I will be thinking of you.