Congenital Heart Disease Flashcards
(24 cards)
cyanotic conditions
- transposition of the great arteries
- tetralogy of fallot
- tricuspid atresia
- pulmonary atresia w/ intact ventricular septum
- total anomalous pulmonary venous connections
continous machinery murmur
patent ductus arteriosus
treatment for transposition of the great arteries
PGE2
This keeps the ductus arterioles patent allowing some oxygen to reach the tissues and organs before surgery
Surgery
Clinical signs of cardiac failure
- failure to thrive
- slow / reduced feeding
- breathlessness
- sweatiness
- hepatomegaly
- crepitations
Three shunts in foetal circulation
- ductus venous
- foramen ovale
- ductus arteriosus
PFO - patent foramen oval remain open in
30/35% of the population
What implications does a PFO have on a patient
stroke
migrane
When the foramen oval closes it becomes
ligamentum arteriosum
Persistant Pulmonary Hypertension of the Newborn (PPHN)
Shunt remain (PFO/PDA) Blue baby
What are the four criteria of Tetralogy of Fallot
- ventricular septal defect
- right sided ventricular outflow obstruction (pulmonary stenosis)
- right ventricular hypertrophy
- overriding aorta
When does finger clubbing appear in a CHD baby
3 months
What is the most common heart disease presenting with cyanosis within the first day of birth?
TGA
Transposition of the Great Arteries
Treatment of TGA
Prostaglandin E2
Atrial Septostomy
Which septal defect DOES NOT cause cyanosis unless very very severe?
atrial septal defect
CHD that shows a boot-shaped heart on CXR
tetralogy of fallot
Commonest Atrial septal defect
Ostium secundrum
Which Atrial septal defect can cause AV valve abnormality
Osmium primum
ASD symptoms
- pulmonary hypertension
- cyanosis
- arrhythmia
- haemoptysis
- chest pain
CHD to cause wide-spitting S2 and a pulmonary ejection systolic murmur
ASD
CHD with harsh pan systolic murmur hears @ sternal edge with systolic thrill
VSD
CHD causing radio femoral delay, weak femoral pulse
correction of the aorta
Complications of Coarction of the Aorta include
HF and infective endocarditis
CXR : rib notching
correction of the aorta
Treatment for correction of the aorta
surgery / balloon stunting
