congenital heart disease Flashcards
teratology of fallot and TGA happen
before 30 days gestation
most common and significant heart abnormality is
VSDs
cyanotic congenital heart disease points to
teratology of fallot with right to left shunt
4 features of teratology of fallor
- pulmonary stenosis
- VSD
- overriding aorta
- Right VH
Right to left shunting leads to
under-perfused lungs
- reduced oxygenation
- cyanosis
- systemic hypoxemia
- polycythemia
when does Acyanotic heart disease occur?
initially with left to right shunts -
no cyanosis
edema and congestion
-
Atrioventricular septal defect - with left to right shunting
what happens in the left to right shunt
- overperfused lungs!!
- cyanosis develops later -
common left to right shunts include
- PDA
- ASD
- VSD
large left to right shunts can cause
heart failure
Late consequences of left to right shunts include
pulmonary hypertension and right heart failure
cyanotic heart lesions include
T of F
- TGA
- Pulmonary atresia
- tricuspid atresia
hypoplastic left heart syndrome includes
- aortic valve atresia
- small LV
- mitral valve atresia
- hypoplasia of ascending aorta
- ASD, PDA
hypoplastic left heart syndrome is
Ductus dependent
when lower body shows cyanosis and upper body has normal color suggests
coarctation of the aorta