Complex Congenital Heart Dz Flashcards
Dx of top and bottom images
![](https://s3.amazonaws.com/brainscape-prod/system/cm/152/580/625/q_image_thumb.png?1659535539)
top= nl, bottom = coarctation
usually, which ventricule is more trabeculated?
RV
if you see complete heart block and severe AV valve regurge, what shoud you think of?
cogenitally corrected transposition
if pt has a h/o lateral thoracotomy, what to think of?
has a shunt procedure
Subclavian artery shunted to PA = ?
Blalock-Taussig Shunt
SVC to R-PA = _____ Shunt, what about SVC to BOTH PA’s?
Classic Glenn, Bi-Directional Glenn
name the shunts: Asc Ao–> RPA and Desc Ao to LPA
Waterston (RPA), Pott’s (LPA)
if you have a shunt below TV, which side of the heart enlarges?
L
what operation “excludes the Right AV valve?” and has high incidence of arrhythmias and RA thrombus?
Fontan
Dx?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/152/583/471/q_image_thumb.png?1659535543)
TOF Overriding Ao
most common problem after TF repair?
PR
this pt had surgery in childhood. what was his Dx?
![](https://s3.amazonaws.com/brainscape-prod/system/cm/152/583/734/q_image_thumb.png?1659535545)
d-TGA (mustard operation=atrial switch). (notice in right picture that the LV gives rise to an artery that dips posteriorly quickly = PA)
does unoperated AV canal lead to PH?
yes
what valve commonly regurgitates after Mustard (atrial switch) procedure?
TR
in a 21 M w/ HTN w/ Ao root dilated at 5.4 cm and bicuspid AV. what is next step?
MORE imaging! look for coarctation and DO NOT jump to surgery.