Congenital heart Flashcards
Cyanotic diseases
Tetralogy of Fallot
Hypoplastic left heart syndrome
Transposition of Great Vessels
Pulmonary Atresia
Acyanotic
Acyanotic
Ventricular Septal Defect (VSD)
Patent Ductus Arteriosus (PDA)
Atrial Septal Defect
Coarctation of the Aorta
cyanotic
Transposition of the Great Vessels
Transposition of the Great Vessels
Presentation
cyanotic
Problems breathing/ cyanosis
Poor feeding
Transposition of the Great Vessels
PE and murmur
Physical exam:
Weak pulse
Ashen or bluish skin color
Murmur: systolic
Arterial Switch Operation
Hypoplastic Left heart Syndrome (HLHS)
general
HypoplasticLeft Heart Syndrome syndrome (HLHS)
presentation & murmur
Presentation:
Shock
Cyanosis
Murmur: variable ( depends assoc defects ((usu ASD))
More common in males
25% cardiac death before 7 days old
HypoplasticLeft Heart Syndrome (HLHS)
Tx
Pulmonary Atresia
general
Pulmonary valve did not form. No blood flow from R ventricle to the pulmonary artery
2 types:
With VSD or without
Can be detected on screening u/s in utero and then fetal ultrasound
*cyanotic
*Critical congenital disease
Pulmonary Atresia
presentation and Tx
Presentation:
Cyanosis, blue
Murmur: depends assoc VSD/MR/TR
Hyperdynamic apical impulse
Treatment:
Rx to keep the PDA open
Usually surgery- stent PV and patch VSD
tetralogy of Fallot
general
1)VSD
2)Pulmonary stenosis
3)RVH
4) Overriding aorta
*critical congenital disease
*cyanotic