Congenital heart disorders Flashcards
Ventricular septal defect
Early surgery performed by 6 mths esp. if heart failure, but can be at any age from newborn.
About 50% close spontaneously esp. the muscular type.
The membranous type is less likely to do so.
Some closed by an occlusive device through a percutaneous cardiac catheter.
Atrial septal defect
An echocardiogram is diagnostic.
Refer early esp. if ostium primum (more serious than ostium secundum).
Closure advisable if symptoms bothersome.
Options are direct surgery (suturing or patch) or closure device (as for VSD).
Patent ductus arteriosus
If causing problems, refer for surgical closure or occlusive device, on advice of cardiologist.
Coarctation of aorta
Usually presents in infancy with heart failure.
Refer for early surgery.