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Congenital Heart Disease, Acyanotic Updated 12/2010

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BASICS

  • Description
  • Etiology

DIAGNOSIS

  • Signs and Symptoms
  • Essential Workup
  • Tests
  • Differential Diagnosis

TREATMENT

  • Initial Stabilization
  • ED Treatment
  • Medication (Drugs)
  • In-patient Considerations

Ongoing Care

  • Follow-Up Recommendations
The following is an excerpt....
BASICS
Description

Abnormality in the cardiocirculatory system that is present at birth but does not cause mixing of deoxygenated and oxygenated blood:

  • L→R shunting lesions:
    • Ventricular septal defect (VSD)
    • Atrial septal defect (ASD)
    • Patent ductus arteriosus (PDA)
    • Endocardial cushion defects (AV canal)
  • Ventricular outflow obstructions:
    • Coarctation of aorta (LV)
    • Aortic stenosis (LV)
    • Pulmonic stenosis (RV)
    • Hypoplastic left-heart syndrome (HLHS)
  • Ductal dependent: Symptoms as DA closes:
    • Coarctation of aorta
    • Critical aortic stenosis
    • Critical pulmonic stenosis
    • Hypoplastic left-heart syndrome
Etiology

For most forms, cause is unknown:

  • Genetic: Down (AV canal), Turner (coarct)
  • Environmental: Congenital rubella (PDA, AS)

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See Also
Images >
A case of complex congenital heart disease. Patient has situs inversus, dextrocardia, is status-post tetralogy of Fallot repair, and presents with symptoms of right-sided heart failure. A: Axial gradient echo images showing dextrocardia and right ventricular dilation. B: Sagittal gradient-echo images showing free pulmonary regurgitation (arrow) at the site of previous infundibular resection.Credit: Topol EJ, Califf RM, etal. Textbook of Cardiovascular Medicine, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2006.
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