Congenital Heart Disease - Septal Defects Flashcards
the 4 types of ASDs
Primum, secundum, PFO, sinus venosus
Most common ASD
Secundum
What can ASD lead to?
RT heart overload
Compare & contrast PFO/ASD
PFO: small, winding path thru flap
ASD: large, straight jet
Most common VSD
Membranous VSD
VSD shunts blood from …..
LT to RT
LV to RA shunt
Gerbode VSD
Another name for AVSD
Endocardial cushion defect
Malformation of the endocardial cushion at the crux of the heart, primum ASD, inlet VSD, common AV valve
Complete AVSD
Primum ASD, cleft in the AMVL, distinct MV & TV
incomplete AVSD
What is Qp/Qs?
Qp = pulmonary volume Qs = systemic volume (thru Ao)
Qp/Qs=?
=Pulmonary SV/Systemic SV
Normal Qp/Qs
1
What Qp:Qs ratio signifies a hemodynamically significant stenosis?
> 1.5 : 1
Shunt direction switched to RT to LT
Eisenmenger’s Syndrome