CT Surgery Peds OME Flashcards
can diastolic murmers be innocent?
never!
3 important L–>R shunts in peds
ASD, VSD, PDA = all have D!
which type of cardiac shunts has cyanosis?
R to L
Which type of cardiac shunts have increased vascular markings?
L to R
Which defect is associated with Fixed wide split S2?
ASD
what is the most common congential heart defect?
VSD
which congential cardiac defect will have a harsh holosystolic murmer, FTT, right sided hypertrophy and increased R heart pressure?
VSD
VSD is associated with what congenital disorder?
Down syndrome
Why do kids with VSD squat?
increase venous return and increase SVR to overcome pulmonary HTN
how do you repair ASD?
Catheter-directed device closure
How do you repair VSD?
open surgical repair
What is a PDA?
aorta to pulmonary artery connection = machine like/multi-phase murmer
How long does it take for PDA to close on its own?
about 7 days. beyond this is abnormal
What can you give to maintain PDA?
prostaglandins if needed for transposition of the great arteries
What can you give to close the PDA?
indomethacin
2 most common R –> L shunts?
Transposition of the great arteries & Tetralogy of Fallot
which cardiac defect requires a patent PDA for the kid to live untill surgery?
transposition of the great arteries
What is the most common CYANOTIC cardiac defect in CHILDREN?
Tetralogy of Fallot
What is the most common CYANOTIC cardiac defect in NEWBORN?
Transposition of the Great Arteries
What is the big risk factor for transposition of the great arteries?
Pre-existing diabetes in prego mom = @ week 8 when heart twists = failure!
mom gives birth to kid who initially is fine but later is the day the kid starts turning blue. what should you do asap? how can you dx?
PROSTAGLANDINS to maintain PDA, Dx transposition of great arteries with U/S
Tetralogy of Fallot is associated with…
down syndrome
Components of Tetralogy of Fallot
- VSD
- Overriding aorta
- Pulmonary Stenosis
- RV hypertrophy
What is a “tet” spell? what is this associated with?
cyanosis relieved by squatting. seen with tetralogy of fallot