Cyanotic Heart Defects

Question 1

what are we looking for?

Answer 1

central cyanosis

- tongue and lips and blue

Question 2

what does cyanosis signify?

Answer 2

left to right shunt

Question 3

transposition of the great arteries

Answer 3

aorta comes out RV

pul artery = LV

Question 4

what is given to neonates when they are born with transposition ?

Answer 4

prostaglandin infusion

umbilical genius catheter

Question 5

what procedure FOR TRANSPOSITION?

Answer 5

switch procedure

-

Question 6

switch procedure - give some of the stages

Answer 6

patch is cut out around the Cor arteries
- put into vessel stump on the left side

• outlook is good once procedure is performed

Question 7

Fallot’s Tetralogy

Answer 7

• pulmonary valve stenosis
• VSD
• overriding aorta
• right ventricular hypertrophy (right to left shunt over the VSD)

Question 8

Fallot’s Tetralogy - CXR findings?

Answer 8

boot shaped heart

- lifting of apex due to RVHypertrophy

Question 9

correction of Fallot’s Tetralogy happens about?

Answer 9

6 months - 5kg body weight

Question 10

Fallot’s Tetralogy - palliative measures? / management

Answer 10

shunt can be created to increase BF through lungs - black-taussig shunt

• beta-blockers