Congenital Heart Disease in Adults Flashcards Preview

MS4 - CVS > Congenital Heart Disease in Adults > Flashcards

Flashcards in Congenital Heart Disease in Adults Deck (26)
Loading flashcards...
1

Common congenital defects in adults (in descending order of frequency)

Bicuspid aortic valve

ASD

VSD

Aortic coarctation

2

Presentation of bicuspid arotic valve

Often undetected at birth

Intense exercise accelerate complications

3

Complications of bicuspid aortic valve

Aortic stenosis

Aortic regurgitation

4

Types of ASD

Ostium secundum

Ostium primum

5

Osteum secundum definition

ASD high in atrial septum

Most common

6

Ostium primum definition

ASD

Opposing the endocardial cushions

7

Presentation of primum ASD

Presents early

8

Presentation of secundum ASD

Often asymptomatic until adulthood

9

Signs of ASD

AF

Raised JVP

Pulmonary HTN

Pulmonary / Tricuspid regurgitation

10

Mx of ASD

Closure if:

- Child

- Symptomatic adult

11

Causes of VSD

Congenital

Acquired (post MI)

12

Signs of VSD

Smaller hole = louder murmur

Harsh pansystolic murmur left sternal edge

13

Complications of VSD

Aortic regurgitation

Infective endocarditis

Pulmonary hypertension

14

Mx of VSD

Medical - many close spontaneously

Surgical

15

Indications for surgical closure of VSD

Symptomatic

Failure of medical therapy

Infective endocarditis

16

Aortic coarctation definition

Congenital narrowing of descending aorta

Usually distal to left subclavian artery origin

17

Signs of aortic coarctation

Radiofemoral delay

Weak femoral pulse

HTN

Systolic murmur

18

Associations of aortic coarctation

Bicuspid aortic valve

Turner's syndrome

19

Complications of aortic coarctation

Heart failure

Infective endocarditis

20

Mx of aortic coarctation

Surgery

Balloon dilatation +/- stenting

21

Cause of tetralogy of Fallot

Abnormal separation of truncus arteriosus

Forms aorta and pulmonary

22

Features of tetralogy of Fallot

VSD

Over-riding aorta

RVH

Pulmonary stenosis

23

Presentation of tetralogy of Fallot

Not at birth

Cyanosis

Toddlers may squat

Clubbing

24

Why do toddlers squat with tetralogy of Fallot

Increases peripheral vascular resistance

25

Ix for tetralogy of Fallot

CXR - boot shaped heart

26

Mx of tetralogy of Fallot

Long term beta blockers

Surgery