Notes in 03c. cyanotic heart diseases

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Status	Last Update	Fields
Published	06/26/2023	TGA → defintion right ventricular origin of the aorta left ventricular origin of the pulmonary artery w/o PFO or small PFO → {{c1:…
Published	06/26/2023	TGA → presentation defect is {{c1::incompatible}} w/ life unless there is adequate communication between the two circuits → {{c1::ASD, …
Published	06/26/2023	TGA → intervention Balloon atrial {{c1::septostomy}} may be performed from the femoral or umbilical vein adequate ASD torn open al…
Published	06/26/2023	TGA → Surgery {{c1::atrial switch operation}}Must move {{c1::coronaries}}now performed regularly w/ excellent results
Published	06/26/2023	Tetralogy of Fallot → defintionMC cardiac disease of {{c1::neonatal cyanosis}}4 abnormalities → ARVR mneumonic for four abnormalties w/ ToF{{c1::…
Published	06/26/2023	TOF → Management TOF spells Check if {{c1::murmur}} is present, if not or quieter than it is a {{c1::spell}}classic tx → {{c2…
Published	06/26/2023	TOF → surgery complete repair - performed at {{c1::3-4 months}}close {{c1::VSD}} and open {{c1::RVOT}}
Published	06/26/2023	TOF → long term issues w/ {{c1::pulmonary valve}} and {{c1::vent arrhythmias}} as they get older long-term issues Rhythm → RB…
Published	06/26/2023	Truncus Arteriosus trunk came down and forgot to divide single artery comes from heart, giving origin to {{c1::coronaries}}, pulmonary {{c1:…
Published	06/26/2023	Truncus → surgery timing of surgery {{c1::controversial}} (birth vs early infnacy)VSD clsoure w/ RV-PA conduit long term conduit replac…
Published	06/26/2023	Total anomalous pulmonary venous return (TAPVR) defintion all pulmonary veins drain via a venous channel into right atrium or directly into …
Published	06/26/2023	TAPVR → Types 3 types supracardiac → 50% Present and act much like an {{c1::ASD}} rarely obstruct intracardiac → 20% rar…
Published	06/26/2023	TAPVR → clinical if obstructed usually are extremely ill from soon after birth and tend to worsen progressively severe {{c1::pulmonary …
Published	06/26/2023	TAPVR → surgery early surgery → within hours of dx "fillet" open confulence and attach to {{c1::atrium}}ligate {{c1::descending ve…
Published	06/26/2023	single ventricle physiology → must have {{c1::PDA}}includes all anatomic arrangements requiring staged surgical repair tricuspid atresia&nbs…
Published	06/26/2023	single ventricles other lesions leading to a single, functional ventricle unbalanced AVSD some forms of ebstein anomaly → {{c1::tr…
Published	06/26/2023	Hypotrophic left heart syndrome → presentation often present when {{c1::PDA}} closes no source of {{c1::systemic blood flow}} → me…
Published	06/26/2023	Hypotrophic left heart syndrome → HLHS → PE signs of poor systemic perfusion if no PDA poor femoral pulses, poor perfusion will be cyan…
Published	06/26/2023	HLHS → EKG and CXR EKG shows little {{c1::left ventricular}} forces {{c1::right ventricular hypertrophy}}CXR {{c2::Non-specif…
Published	06/26/2023	HLHS → physiology pulmonary venous return MUST cross {{c1::atrial septum}} and enter {{c1::right atrium}}Pulmonary venous and systemic …
Published	06/26/2023	Bicuspid aortic valve → think {{c1::coarctation}}
Published	06/26/2023	ToF pathophys aorta is malaligned and instead of staying on left, it pushes to the {{c1::right}} which prevents {{c1::hole from closing}} → {{c2:…
Status	Last Update	Fields