ASD/PAPVR/cor triatriatum

Question 1

what percent of normal hearts have a PFO

Answer 1

30%

Question 2

what percent of ASDs are ostium primum

Answer 2

10%

Question 3

what percent of ASDs are sinus venosus

Answer 3

2-10%

Question 4

what percent of ASDs are coronary sinus defects

Answer 4

1-2%

Question 5

what percent of patients with an ASD greater than 8 mm at 1 year of age will progress to pulmonary hypertension by 40 years of age

Answer 5

50%

Question 6

what shunt fraction are clinical symptoms apparent in childhood with an ASD

Answer 6

Qp:Qs of 2:1

Question 7

what shunt fraction should you close and ASD

Answer 7

Qp:Qs of 1.5:1 or greater

Question 8

what PVR is contraindicated for ASD closure

Answer 8

8-12 woods units

Question 9

What woods units should vasodilator challenge PVR fall to for considering closing an ASD in an adult

Answer 9

7

Question 10

whats the upper limit on size for catheter based closure of an ASD

Answer 10

3.8 cm

Question 11

whats the surgical management of cor triatriatum sinistrum or dexter

Answer 11

resect the membrane