Congenital cardiac shunts

Question 1

VSD, ASD, PDA

Answer 1

L to R

Question 2

5Ts

Answer 2

R to L

1. Truncus arteriosus
2. Transposition
3. Tricuspid atresia
4. Tetralogy of Fallot
5. TAPVR (total anomalous pulm venous return)

Question 3

early cyanosis

Answer 3

R to L shunt (eaRLy)

Question 4

late cyanosis

Answer 4

L to R (LateR) - aka Eisenmenger synd

Question 5

ASD, if not repaired can cause permanent damage to what?

Answer 5

Pulmonary vessels

ASD –> pulm HTN –> pulm vascular sclerosis –> Eisenmenger synd (reversal of L–>R shunt)