Congenital Flashcards
1
Q
Risk Factors for Sternal Reentry
A
- Retrosternal RV-PA Conduits
- Multiple Stents
- PHTN
- RV Enlargement
- Prior Sternal Infections
- RVOT/LVOT Aneurysms
- Pectus Excavatum
- AP Shunts
2
Q
Features of ASDs Requiring Surgery
A
- Sinus Venosus Defects
- Primum Defects
- Transitional and Complete AV Canal
- Common Atrium
- Secundum Defects without sufficient Inferior or Superior Rims
3
Q
A
4
Q
Common Presentations of Fontan Patients
A
- Arrhythmias
- Systemic Ventricular Failure
- Protein-Losing Enteropathy (PLE)
- Systemic Venous Pathway Obstruction
- Semilunar or AV Valve Dysfunction
5
Q
Complications of Intracardiac Fontans
A
- Atrial Enlargement
- Arrhythmias
- Stagnant Flow
- Right Pulmonary Vein Compression
6
Q
Congenital Repairs that may neccessitate RVOT Reconstruction as an Adult
A
- TOF
- DORV
- Pulmonary Atresia
- Truncus Arteriosus
- Arterial Switch
7
Q
Indications for Surgical Intervension on the RVOT
A
Pumonary Valve Stensosis or Reguritation with
- RV Dysfunction
- RV Enlargement
- RVH
- PS with Vmax > 4m/s; peak instantaneous gradient > 64mmHg
8
Q
Pulmonary Conduit Outcomes
A
4% Reoperation for Pulmonary Conduit Failure at 10-years
(size < 14mm at higher risk of failure)
9
Q
Approaches to Repair of Coarctation in Adults
A
- Resection and End-to-End Repair
- Onlay Patch Enlargement
- Interposition Tube Graft
