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Flashcards in Cardiac Deck (83):
1

What is the echogenic focus in the left ventricle?

calcified papillary muscle

2

What does the two chamber view display?

LV LA

3

What is seen on the three chamber view?

LVOT

4

Supra valvular aortic stenosis-

Williams syndrome

5

Bicuspid aortic valve+ coarctation=

Turners

6

What is the most common cause of mitral stenosis?

rheumatic heart disease

7

What are the two most common causes of acute mitral regurgitation?

endocarditis, papillary muscle rupture

8

Supravalvular pulmonic stenosis=

Williams syndrome

9

Valvular pulmonary stenosis is see in what disease?

Noonan syndrome

10

Peripheral pulmonary stenosis is seen in hat syndrome?

Alagille

11

Sub valvular pulmonary stenosis is seen with what congenital heart disease?

TOF

12

What is the most common situation for pulmonary regurgitation?

post op TOF repair

13

What is the most common cause of TR?

pulmonary arterial hypertension

14

What is Ebstein anomaly?

tricuspid valve is hypoplastic-> RA enlargement, atrialized RV, tricuspid regurg

15

box shaped heart=

Ebstein

16

Tricuspid atresia is associated with what?

asplenia

17

Right aortic arch w/ left subclavian originating anteriorly=

mirror image

18

Right arch with mirror branching a/w what most commonly?

TOF

19

Right arch with mirror branching a/w what most closely?

truncus

20

egg on a string=

transposition

21

Snow man=

supracardiac TAPVR

22

boot shaped-

TOF

23

box shaped=

ebstein

24

thumb defects + ASD=

holt oram

25

ostim primum ASD seen in

Downs

26

Sinus venosus ASD seen with

PAPVR

27

unroofed coronary sinus has strong association with what?

persistent left SVC

28

Type III TAPVR=

infracardiac, pulmonary edema

29

Which TAPVR type gives snowman appearance?

type 1 supracardiac

30

What is the most common cause of cyanosis during the first 24 hours?

transposition

31

What procedure results in PA being draped over aorta

D transposition, le compte manuever

32

What is truncus associated with?

digeorge/ catch 22

33

Coarctation is strongly associated with what?

Turners

34

What common associated defect is seen with coarc?

bicuspid aortic valve

35

Hypoplastic left heart is commonly associated with what?

coarc and endocardial fibroelastosis

36

What is cor tratriatum sinistrum?

pulmonary vein draining into left atrium

37

What med is used for wall motion?

dobutamine

38

What med is used for perfusion?

adenosine

39

Timing of dressler syndrome post MI?

4-6 weeks

40

Timing of papillary muscle rupture post MI?

2-7 days

41

Timing of ventricular pseudoaneurysm post MI?

3-7 days

42

Timing of ventricular aneurysm post MI?

months

43

Timing of myocardial rupture post MI?

within 3 days

44

Difficult to null myocardium=

amyloid

45

biventricular thrombus-

eosinophilic cardiomyopathy/loeffler

46

septal bounce =

constrictive pericarditis

47

sigmoidization on SSFP=

constrictive pericarditis

48

subendocardial enhancement-

infarct

49

transmural enhancement=

infarct

50

Circumferential subendocardial enhancement=

amyloid

51

Midwall patchy enhancement=

HCM

52

Midwall septal enhancement= 2

myocarditis, idiopathic dilated cardiomyopathy

53

midwall lateral enhancement = 2

myocarditis, sarcoidosis

54

epicardial enhancement 2

myocarditis, sarcoidosis

55

kid with dilated heart and midwall enhancement=

muscular dystrophy

56

what is the ratio in noncompaction?

non compacted end diastolic myocardium to compacted of more than 2.3:1

57

What is the most common met to the heart?

lung cancer

58

What is the most primary malignant cardiac tumor in adults?

angiosarcoma

59

cardiac tumor with sunray appearance=

angiosarcoma

60

What is the most common primary cardiac tumor in adults?

left atrial myxoma

61

What two syndromes is myxoma associated with

carney complex, MEN

62

Where is a myxoma most commonly?

left atrium

63

What is the most common fetal cardiac tumor?

rhabdomyoma

64

Where are rhabdomyomas most commonly located?

left ventricle

65

What syndrome are rhabdomyomas associated with?

TS

66

What is the 2nd most common childhood cardiac tumor?

fibroma

67

Where are cardiac fibromas commonly located?

IV septum

68

What tumor involves the cardiac valves?

fibroelastoma

69

What is the sequence of surgeries for hypoplastic left heart?

Norwood (near birth)

Glenn (3-6 months)

Fontan (1.5-5years)

70

What is the norwood procedure?

for hypoplastic left heart

enlarge aorta, ASD and put in BT shunt between right PA and SC artery

71

What is the sano procedure?

same as norwood but conduit used instead of BT shunt

72

What is the Classic Glenn?

shunt between SVC and RPA (end to end) proximal PA sewn shunt

73

What is a bi directional Glenn?

shunt between SVC and right PA (end to side). RPA left open

74

Fontan?

classic glen with ASD closure, shunt between RA to left PA

75

What procedure results in plastic bronchitis?

fontan

76

BT shunt?

between subclavian artery and pulmonary artery on OPPOSITE side of arch

77

Modified BT shunt

SAME side as arch

78

What are the two atrial switch procedures?

Senna and Mustard

79

Rastelli operation

connects VSD to aorta

80

Ross Procedure?

replaces aortic valve with own pulmonary valve and pulmonary with graft

81

Bentall procedure?

graft replacement of aortic valve, aortic root and ascending aorta

82

Typical inversion time of cardiac MRI?

175-250ms

83

When to image contrast?

10-30 mins