Situs and Heterotaxy Flashcards

+ venous abnormalities

1
Q

Describe the R bronchus in terms of its relation to RPA branching

A

Eparterial - bronchus branches before the RPA

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2
Q

Describe the L bronchus in terms of its relation to LPA branching

A

Hyparterial- bronchus branches below the LPA branching

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3
Q

What EP conditions are seen in Right and Left isomerism

A

Right isomerism: EAT, double SA nodes
Left isomerism: Complete heart block

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4
Q

What is the most common form of TAPVR?

A

Supracardiac

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5
Q

What is the form of TAPVR most likely to be obstructed?

A

Infracardiac

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6
Q

Where is the site of obstruction for supracardiac TAPVR?

A

Compression of vertical vein by the bronchus

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7
Q

Where is the site(s) of obstruction for infracardiac TAPVR?

A

Level of the diaphragm, portal vein, ductus venosus

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8
Q

What is the most common form of PAPVR?

A

LUPV to left innominate vein

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9
Q

What is associated with a RUPV to SVC?

A

Superior sinus venosus defect

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10
Q

What is associated with a RLPV to IVC?

A

Inferior sinus venosus defect

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11
Q

What two genetic conditions are associated with PAPVR?

A

Turners and Noonan

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12
Q

What is important to rule out before diagnosing someone with primary pulmonary hypertension?

A

Pulmonary vein stenosis

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13
Q

In cases of a persistent L-SVC, where does it usually drain to?

A

Coronary sinus

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14
Q

What causes a cor triatritum dexter?

A

Persistence of the right valve of the sinus venosus

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15
Q

What causes a cor triatritum sinister?

A

Abnormality with the connection of the pulmonary venous chamber to the LA

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16
Q

Describe the relationship between the descending aorta and IVC in patients with asplenia

A

Descending aorta and IVC are usually on the same side of the vertebral column in patients with asplenia

17
Q

What is the incidence of CHD in a patient with total sinus inversus?

A

Same as general public - 0.8%