Congenital Flashcards
Double outlet RV
More overriding
Sub aortic conus
Mv fibrous segment
Parachute mitral
Association
Sub aortic membrane
Single papillary mm
shone complex ( left sided obstructive lesions)
Continuous flow
Means Ao to Rv
Vsd does not have continuous flow
Valsalva rupture
Associated with supra crystal vsd ( conal vsd)
More common Asian population
Stitch artifact
3D echo
Occurs when breath taken during reconstuction
Mv score
Abascal score
Calcification
AV canal defect
Complete: inlet vsd, primum vsd
Partial: primum vsd, cleft MV
Williams syndrome
Supra valvular AS
May overestimate gradient with pressure recovery
Shones
Left obstruction
Memb vsd, av canal, congen MS
Congenital PS
Systolic doming
Noonan’s
Supra valvular pul stenosis
Hypertelorism
Webb nec
Turner syndrome
Coarctation
Occ bicuspid
Primum asd
association
Associated cleft MV
Sinus venosus asd
association:
Partial anomalous pul vein
Secundum asd
association:
Valv pul stenosis
TTE missed asd
Most missed sinus venosus : high
Sinus venosus association
Rv vol overload
Asd/pfo
Must see ra/caval junction
Epstein association
Pfo
Asd
Wpw
Congenital corrected xposition:
Av insertion Vent inversion L transposition do Ao/PV Ao to anterior and left, PA posterior Associated: left sided Epstein, pul stenosis, vsd, heart block
Congenital M:F ratio
PDA, asd increased in female
Other increased in male
VSD long term consequences:
LA and LV enlargement
Severe tetralogy
Pulmonary atresia
Requires PDA or collaterals from desc Ao to pul art
Tetralogy of fallout
Pul stenosis
Vsd muscular
Asd
Rastelli
Rv to pa conduit
( pul stenosis tet- vsd closure with Rv to pa conduit
D tga: complete transposition
Most common newborn cyanotic ( texts present later)
Best surg: Jantene ( arterial switch )
If pul stenosis then rastelli then second surg
( survival dependent on PDA, vsd or asd (best)
Congenitally corrected transposition association
Vsd associated
Congenitally corrected transposition association
Vsd associated
Aorta anterior to pulm artery
Suggests TGV - transposition of great vessels
Also aov and pul v in same plane means TGV
L TGA pathway
Systemic venous to RA then to LV then out pul artery then returns to LA then out RV to aorta
Vsd, pul stenosis, complete heart block , epsteins
(Congenitally corrected transposition)
D TGA
Complete transposition of GA Requires intervening at birth Interatrual baffle ( mustard/ senning) or arterial switch
Vsd flow aorta valve
Supra cristal or conal causes the right sinus of valsalva to prolapse -vsd into Rv outflow
Membranous vsd directs to septal tricuspid leaflet
Noonan
Pulm stenosis
Develops HCM later
Try surg
Blalick taussig: L subclavian to pa
Then vsd patch vsd closure
Position of Ao in sax Ltrans
Ao anterior and to left of pul artery
Cleft mv
Ass with primum ASD
