Congenital Heart Defects

Question 1

What are the four distinct abnormalities associated with Tetralogy of Fallot?

Answer 1

• Ventricular septal defect
• Pulmonary valve stenosis
• Right ventricular hypertrophy
• Enlarged aorta positioned over septal defect

Question 2

What is the consequence of Tetralogy of Fallot?

Answer 2

Unoxygenated blood recirculates throughout the body

Question 3

What is Patient Positioning for a Tetralogy of Fallot repair?

Answer 3

Supine with Bilateral Arms tucked

Question 4

Which incision is used to access the Heart during a Tetralogy of Fallot repair?

Answer 4

Midline Sternotomy

Question 5

What is done to repair the Tetralogy of Fallot?

Answer 5

Repairing the Ventricular Septal defect and the Pulmonary Valve stenosis usually corrects the other two abnormalities

Question 6

How is the Ventricular Septal defect repaired?

Answer 6

With a Dacron Graft utilizing the parachuting suture technique

Question 7

How is the Pulmonary Valve stenosis repaired?

Answer 7

Arteriotomy is performed and then a patch is sewn in to widen the pulmonary valve increasing blood flow to the lungs

Question 8

What suture is used when patching up the Pulmonary Valve stenosis?

Answer 8

6-0 Prolene

-Running stitch