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    353 views1 page

    Cyanotic Congenital Heart Disease

    Uploaded by

    Ziyad

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF or read online from Scribd
    Flag for inappropriate content
    of 1

    Cyanotic Congenital Heart Disease

    Etiology Epid. Clinical Manifestations Imaging Studies Treatment Comments


    TOF 10% (m/c Cyanosis, Pulmonary stenosis murmur, ECG: RAD, RVH Rx hypoxia: O2 (minimal benefit), Coronary anomalies present in 5%
    cyanotic single S2 & RV impulse (LSB), hypoxic CXR: “boot-shaped” heart knee-chest position (squat,  of TOF patients
    CHD) (Tet) spells (restless, agitated, crying) VR), morphine sulfate, Natural hx is progression and
     unconsciousness, convulsions, phenylephedrine ( SVR). worsening of PS and cyanosis
    hemiparesis, death. Cyanotic spell: Surgery (complete, Subacute beacterial endocarditis
     risk of cerebral TE, cerebral abscess palliative shunt surgery for prophylaxis indicated until 6 m
    complex TOF) after repair & for residual VSDs.
    TOGA 5% VS intact: Cyanosis, quiet tachypnea, ECG: RAD, RVH Prostaglandin E1 Most common cyanotic lesion
    single S2, no murmur CXR:  pulmonary vascularity, Balloon atrial septostomy present in newborn period
    VSD: less cyanosis, signs of HF, cardiac shadow “egg on Complete surgical repair: Atrial Depends on presence of ASD,
    palpable left & right ventricular string” switch within 2 w of life. VSD, PDA for survival
    impulses, loud VSD murmur, single S2 Echo: transposition, mixing
    TCA 2% Infant severely cyanotic, single S2, ECG: LVH, superior QRS axis VS intact: PE1 until surgery, or VSD Hypoplastic right ventricle
    frequently no murmur (VSD murmur, (between 0 & -90°) Surgery staged (3): subclavian AP Depends on PDA or VSD for
    diastolic murmur over mitral valve) CXR: normal-mildly enlarged shunt (Blalock-Taussig survival
    cardiac silhouette,  PBF procedure), 2-stage procedure
    (biD Glenn, Fontan)
    TA <1% Cyanosis, HF, PVR, tachypnea, cough, ECG: combined ventricular Anticongestive medication Left and right ventricle empty into
    bounding peripheral pulses. hypertrophy, cardiomegaly Surgical repair: VSD closure, a single trunk that then divides
    Single S2, SEC, systolic murmur (LSB) CXR:  pulmonary blood, conduit between RV & PA
    displaced PA
    Echo: VSD, origin of PA
    TAPVR 1% Infants without obstruction: minimal Iw/oO: ECG: RV volume Surgery: common pulmonary vein
    cyanosis, asymptomatic, hyperactive overload. CXR: cardiomegaly, is opened into the left atrium
    RV impulse (LUSB), mid-diastolic  PBF
    murmur (LLSB), poor growth. IwO: ECG: RAD, RVH, CXR:
    Infants with obstruction: cyanosis, pulmonary edema (similar to
    marked tachypnea, signs of RSHF HMB or pneum.)
    (hepatomegaly), no murmur.
    HLHS 1% HF, weak to absent pulses, single loud ECG: RVH,  LV forces PE1, correct acidosis, supportive Most common cause of death
    S2, no heart murmur, minimal CXR: right sided enlargement, Surgical repair (staged): Norwood, from cardiac defects in the first
    cyanosis, low CO, grayish color of skin pulmonary venous congestion bidirectional Glenn and Fontan month of life
    & edema procedures. Failure of development of mitral or
    Echo: small left side of heart, aortic valve or aortic arch
    hyoplastic ascending aorta Dependent on right-to-left
    shunting at DA for survival
    TOF, Tetralogy Of Fallot; TOGA, Transposition Of The Great Arteries; TCA, Tricuspid Atresia; TA, Truncus Arteriosus; TAPVR, Total Anomalous Pulmonary Venous Return; HLHS, Hypoplastic Left Heart Syndrome

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