Atrial Septal Defect and Coarctation of the Aorta

Question 1

What is coarctation of the aorta?

Answer 1

pulmonary artery and aorta are connected through the duct and when the duct closes blood struggles to get to the body

Question 2

How do pts with coarctation present?

Answer 2

systemic shock (gray, poor cap refill, hypotensive, heart failure)

Question 3

What is a comon association with coarctation?

Answer 3

turner’s sndrome

Question 4

What is the murmur in coarctation?

Answer 4

systolic left intraclavicular and subsapular

Question 5

Pulses and BP are different in the upper and lower extremities in what?

Answer 5

coarctation of the aorta (BP will have 20 mmHg difference)

Question 6

What is the treatment for coartaction?

Answer 6

initially prostaglandin E1 to open ductus and eventually surgery

Question 7

What is high risk in spite of correction of coarctation?

Answer 7

cerebral aneurysm (risk of rupture increases with age)

Question 8

Which are is likely to have a higher blood pressure in coarctation?

Answer 8

right

Question 9

What direction shunt is Atrial Septal Defect?

Answer 9

left to right until the pulmonary hypertension increases so much that it switches

Question 10

What will the heart sound be on ASD?

Answer 10

split S2

Question 11

What are 2 main signs on exam of ASD?

Answer 11

right heart failure and atrial arrhythmias

Question 12

What is the murmur with VSD?

Answer 12

holo-systolic

Question 13

What kind of shunt is VSD?

Answer 13

left to right until pulmonary hypertension increase so much it switches