1 It depends on the type of cheese, bread and butter (or margarine). 2  There are about 250 calories in a small grilled cheese sandwich. 3  Each slice of white bread has about 50 calories in it and each slice of American cheese has about 67 calories in it. 4  So that 167 right there. Then there is the question of buttering the bread and if you do butter the bread how much butter will you use. 2  You are looking at a minimum of 250 calories in a thin grilled cheese sandwich. 3  It depends on the type of cheese, bread and butter (or margarine).
An atrial septal defect is a birth defect of the heart in which there is a hole in the wall (septum) that divides the upper chambers of the heart (atria). A hole can vary in size and may close on its own or may require surgery.An atrial septal defect is one type of congenital heart defect.n atrial septal defect is a birth defect of the heart in which there is a hole in the wall (septum) that divides the upper chambers of the heart (atria). A hole can vary in size and may close on its own or may require surgery.
A ventricular septal defect (VSD) is a defect in the ventricular septum, the wall dividing the left and right ventricles of the heart. The ventricular septum consists of an inferior muscular and superior membranous portion and is extensively innervated with conducting cardiomyocytes.The membranous portion, which is close to the atrioventricular node, is most commonly affected in adults and older children in the United States.entricular septal defect. Figure A shows the structure and blood flow in the interior of a normal heart. Figure B shows two common locations for a ventricular septal defect. The defect allows oxygen-rich blood from the left ventricle to mix with oxygen-poor blood in the right ventricle.