ASD- 4 types
- a.
- .
- .
- Coronary Sinus ASD
- Difficult to diagnose
- Agitated saline in LUE to see ... if a way to go
- Clinical implications
- Atrial arrythmias down the road
VSD- 4 regions of ventricular septum
- 4 Types
- Perimembranous VSD (80% of all VSD)
- Subarterial VSD (5-10 %, more common in Asian 30%)
- Associated with probalpse of conronay sinus
- Inlet VSD
- Muscular VSD
- Upto 20 %
- Can be single or multiple
- Closure of VSD
PDA- Usually closed by day 3
- associated with rubella
- PSSAX angling L and superior for bifurcation of
- When to intervene
Pulmonary Stenosis - Associated with Noonan Syndrome
- Usually treated by Balloon valvotomy
Coarctation of Aorta - 6-8% of congenital disease
- Turner syndrome association
- Radiofemoral delay
- Bisuspid valve in 50-80%
- Aortopathy is seen
- Aneurysm is seen as well (?aortic or intracranial)
Ebstein's Anomaly - Adhesion of septal and posterior TV
- More severe the anomaly, more earlier they will present
ToF - Hallmark: Anterior and cephalic displacement of infundibular septum
- ASD: if present Pentalogy of fallout
Complete Transposition of the Great Arteries - Dextro-Transposition (D-TGA)
- Treatment: Physiologic correct (acyanotic)
|
|