Congenital Part III Flashcards

1
Q

what can AV valve dysplasia result in?

A

regurgitation
stenosis
both

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2
Q

what does AV valve dysplasia look like grossly?

A

valve leaflets thickened pr fused
abnormal chordae tendinae
abnormal papillary muscles

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3
Q

what are some defects associated with right-to-left shunting and cyanosis?

A

tetralogy of fallot
eisenmenger’s physiology (pulmonary hypertension with something else)

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4
Q

why is right-to-left shunting a problem?

A

cyanosis
reduced exercise tolerance
polycythemia
neurologic signs, seizures

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5
Q

what indicates a right-to-left shunt in a bubble study?

A

if bubbles show up in left heart

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6
Q

what makes up the tetralogy of fallot?

A

ventricular septal defect
pulmonic stenosis
dextropositioned aorta
secondary right ventricular hypertrophy

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7
Q

what clinical findings are consistent with tetralogy of fallot?

A

cyanosis
murmur at right cranial sternal border
murmur at left heart base
ECG: right ventricular enlargement pattern
radiographs: undercirculation

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8
Q

what is eisenmenger’s syndrome?

A

shunting defect
pulmonary hypertension

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9
Q

what does eisenmenger’s syndrome cause?

A

increase in pulmonary artery pressure causes right-to-left shunting
cyanosis
weakness or collapse

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10
Q

where does right-to-left shunting occur in a patent ductus arteriosus with pulmonary hypertension?

A

at ductus

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11
Q

should surgery be performed on a patent ductus arteriosus with pulmonary hypertension?

A

no

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12
Q

what is cor triatriatum dexter?

A

membrane in right atrial separates right atrium into two chambers
dogs get

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13
Q

who gets cor triatriatum sinister?

A

cats

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14
Q

what is supravalvular mitral stenosis in cats?

A

obstruction separates left atrium into two chambers

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15
Q

what is the most common defect in the cat?

A

AV valve dysplasia

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16
Q

what dog breeds can get AV valve dysplasia?

A

lab
great dane
german shepherd
weimaraner

17
Q

what can be abnormal about the papillary muscles in AV valve dysplasia?

A

malpositioned
incomplete or absent
abnormal attachment to ventricular wall

18
Q

what is eisenmenger’s physiology?

A

ventricular septal defect with pulmonary hypertension (eisenmenger’s syndrome)
atrial septal defect with pulmonary hypertension
patent ductus arteriosus with pulmonary hypertension

19
Q

what are the neurologic signs with right-to-left shunting from?

A

capillary sludging due to polycythemia
paradoxical embolism

20
Q

what are the treatment options for tetralogy of fallot?

A

surgical repair
surgical palliation
phlebotomy
hydroxyurea

21
Q

is there a continuous murmur with a patent ductus arteriosus with pulmonary hypertension?

A

no

22
Q

what clinical sign is associated with a patent ductus arteriosus and pulmonary hypertension?

A

cyanosis to back half of body