Congenital Heart Defects Flashcards
There are 9 physiologic states that increase PVR
What are the hemodynamic goals with Cyanotic Defects?
Maintain SVR
Decrease PVR
List the cyanotic heart defects
What are the hemodynamic goals with acyanotic defects?
Avoid an increased SVR
Avoid decreasing PVR
List the acyanotic heart defects
What is Eisenmenger syndrome?
When a kid with a L to R shunt suddenly develops pHTN and the shunt reverses
Which defects are associated with ToF?
What is the best induction agent for ToF?
Ketamine
Which IV anesthetics should be avoided with ToF
Anything with histamine release
Perioperative treatment of Tet spells includes:
What are the hemodynamic goals in the patient with ToF?
What ECG change may be present with ToF?
R axis deviation
How will the ToF heart appear on CXR?
Boot shaped
80% of all ASDs occur where?
In the middle of the atrial septum. Called “secundum”
What is the most common type of VSD?
Perimembranous, in the middle of the septum
What is the most common cardiac anomaly in children?
VSD
Which type of Coarctation is usually seen in neonates?
Which syndrome is strongly associated with coaractation of the aorta?
Turner syndrome
In severe CoA, perfusion of the lower body relies on:
A patent PDA
What are two hallmark signs of CoA?
Systolic BP in UE is higher than in LE
Differential cyanosis
Describe Ebstein’s Anomaly
Describe Transposition of the great arteries
Ebstein Anomaly
Transposition of Great Arteries
Hypoplastic L Heart
