Congenital Lesions Flashcards
1
Q
What is tetrology of Fallot
A
- Pulmonic Stenosis
- VSD
- Overriding aorta
- RVH
2
Q
What is Modified Blalock-Taussig repair?
A
Graft from subclavian artery to ipsilateral pulmonary artery
–> improves pulmonary blood flow and oxygenation
3
Q
What is a “tet spell”
A
- Increased PVR
- blood shunts through VSD into systemic circulation
- hypoxemia
* due to SVR being lower than PVR
4
Q
How to treat a “tet spell”
A
You have to increase SVR to improve pulmonary blood flow and oxygenation
- squatting
- phenylephrine
5
Q
IV inductions with R–>L shunts?
A
faster inductions because the shunt moves IV meds faster into systemic circulation through the shunt!!!