Congenital cardiovascular conditions Flashcards
(28 cards)
what are the types of congenital cardiovascular abnormalities?
cyanotic
acyanotic
cyanotic heart disease
transposition of great vessels
tetralogy of fallot
acyanotic heart disease
VSD
patent ductus arteriosus
coarctation of aorta
onset of transposition of great vessels
within 24 hours of birth - worsened by intact septum
symptoms of transposition of great vessels
tachypnoea
cyanosis
loud S2 sound
diagnosis of transposition of great vessels
echo
CXR = egg on side sign
management of transposition of great vessels
surgical correction
maintenance of ductus arteriosus
what is tetralogy of fallot?
pulmonary stenosis
right ventricular hypertrophy
overriding aorta
ventricular septal defect
when is tetralogy of fallot picked up?
4-8 weeks after birth
symptoms of tetralogy of fallot
ejection systolic murmur
can cause right to left shunt
cyanosis
diagnosis of tetralogy of fallot
echo
CXR = boot shaped heart
management of tetralogy of fallot
surgical repair
patent ductus arteriosus
usually closes in first 28 hours
more common in prematurity
symptoms of patent ductus arteriosus
machinery murmur
diagnosis of patent ductus arteriosus
echo
management of patent ductus arteriosus
indomethacin
ibuprofen to close
older people require surgery
what is coarctation of aorta associated with?
Turner syndrome
symptoms of coarctation of aorta
reduced lower limb pulses hypertension at young age upper/lower limb BP variation heart failure in infancy rib notching
diagnosis of coarctation of aorta
echo
management of coarctation of aorta
surgical repair
if critical ductus arteriosus can be kept open
what is VSD associated with?
genetic conditions - down’s and edward’s syndrome
symptoms of VSD
pansystolic murmur
complications of VSD
right heart failure
Eisenmeger
diagnosis of VSD
echo
CXR to show cardiomegaly
