4 Congenital Heart Defects (Peds)

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ariabarr1
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145369
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4 Congenital Heart Defects (Peds)
Updated:
2012-04-02 22:07:18
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Congenital Heart Defects Peds
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4 Congenital Heart Defects (Peds)
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  1. 4 Congenital Heart Defects
    • Ventricular Septal Defect (VSD): increased PA blood flow
    • Coarctation of Aorta: obstructive defect
    • Tetralogy of Fallot (TOF): decreased PA blood flow
    • Transposition of the Great Vessels: mixed blood flow
  2. Ventricular Septal Defect (VSD)
    • INCREASED PULMONARY ARTERY BLOOD FLOW
    • most common abnormal opening between ventricles
    • blood flows from left to right side of the heart most of the time
    • acyanotic (L-R)
    • cyanotic (R-L)
  3. Clinical Manifestation of VSD
    • failure to thrive
    • diaphoresis
    • fatigue
    • more susceptible to pulmonary infection (increased coronary blood flow; stasis of fluids)
    • systolic murmur (not that strong)
    • petite
    • difficulty eating
  4. Coarctation of Aorta
    • OBSTRUCTIVE DEFECT
    • can lead to left side heart failure (pump to hard -> hypertrophy)
  5. Classic Symptoms of Coarctation of Aorta
    • different B/P or pulses (increased B/P on UE than LE)
    • possible systolic murmur
  6. Tetralogy of Fallot (TOF)
    • DECREASED PULMONARY ARTERY FLOW
    • four parts
    • blood flow from right to left depends on any of the four parts
    • check femoral/pedal on babies -> won't feel them if this occurs
  7. 4 Parts of Tetralogy of Fallot
    • VSD (occurs as a result of increased pressure fro pulmonary stenosis)
    • Pulmonary Stenosis (affects right ventricle size the most)
    • Right Ventricular Hypertrophy
    • Overriding Aorta (aorta moves towards the right side; giving deoxygenated blood)
  8. Clinical Symptoms of TOF
    • tet spells (cyanotic spells)
    • cyanosis at rest
    • slow weight gain
    • inability to tolerate activity
    • possible murmur
  9. Transposition of the Great Vessels
    • MIXED BLOOD FLOW DEFECT
    • no flow between system and pulmonic circulation
  10. Clinical Symptoms of Tranposition of the Great Vessels
    • cyanosis and sever respiratory depression (will be evident quickly after birth; 10-14 days)
    • no murmur
    • needs PDA to occur if no surgery

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