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.
pertaining to a ventricle. ventricular septal defect a congenital heart defect in which the opening in the ventricular septum (normal in the fetus) persists after birth, in either the muscular or fibrous portion, most often due to failure of the bulbar septum to completely close the interventricular foramen.