23.7.2013(assistant GC) Flashcards
Most common complication of VSD
Infective endocarditis
Commonest anomaly associated with VSD
ASD
Lesions associated with VSD
PDA
coarctation of aorta
AR
Materials used for patch closure of VSD
Pericardium
Dacron
Spontaneous closure of VSD doesnot occur after
8 years
Definite indications for closure of VSD
Large VSD
episode of IE
PVR in inoperable VSD
PVR> 2/3rd of SVR
Large volume pulse
Pulse pressure greater than 60
Small volume pulse less than 30
Assymmetric upper limb BP
Takayasu
Aortic dissection
Pre-ductal coarctation of aorta
Dextroposition
Apical impulse behind sternum due to mediastinal shift
Severity of AR is clinically indicated by
Hill sign
Gross cardiomegaly is seen in
AS
AR
Musical murmurs are seen in
MR
AR
Resection of aortic root along with valve replacement is done in
Marfan
Syphilitic AR
Pulsation in infra scapular and infra axillary area is seen in
Coarctation of aorta
Suzmann sign
Pt position when seeing for Suzmann sign
Standing with stooped forward position
Cardiac valvular disease in which apical impulse is found in normal position
Pure isolated MS
Characteristics of right ventricular apical impulse
Retractile
Synchronises with para sternal heave
VSD associated with pulmonary infundibular stenosis
Prognosis
Good prognosis
Types of VSD
1.membraneous(perimembranous) Muscular 2.trabecular 3.inflow 4.outflow(common in Indians)
VSD associated with AR
Outflow
Cause of AR in outflow VSD
Prolapse of aortic valve due to Venturi effect
