Congenital Heart Diseases Overview

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18 Questions

Which diagnostic modality is mainly used to confirm the diagnosis of Transposition of the Great Arteries?

Echocardiogram (ECHO)

What is the recommended initial treatment for tet spells in a newborn with severe pulmonary stenosis?

IV prostaglandin E2

In the context of congenital heart disease, what does VSD stand for?

Ventricular Septal Defect

What is the characteristic finding on chest X-ray in a patient with Tetralogy of Fallot?

Boot-shaped heart

Which intervention is considered if medical management fails in a patient experiencing a Tet spell?

Emergency surgical intervention

Which congenital heart defects are classified under Acyanotic Left-to-right shunt?

Atrial Septal Defect (ASD)

What is the most common cyanotic congenital heart disease presenting with cyanosis at birth?

Transposition of the Great Arteries

Why are acute and persistent increases in systemic vascular resistance or decreases in pulmonary vascular resistance undesirable during anesthesia for VSD surgery?

They can accentuate the magnitude of left-to-right intracardiac shunt

Which type of anesthesia induction is recommended for a patient with poor left ventricular function undergoing surgery for a ventricular septal defect (VSD)?

Intravenous induction with etomidate

What is the most common group of structural malformations in children?

Congenital Heart Diseases

Which maternal disorder is associated with a higher risk of Complete Heart Block in the fetus?

Systemic Lupus Erythematosus (SLE)

What is a potential complication associated with untreated VSD that can lead to a reversal of the shunt and worsening cyanosis?

Eisenmenger complex

What percentage of infants with Edward’s and Patau’s syndrome are likely to have Aortic Valve Stenosis?

60-80%

In Congenital Heart Disease, what is the purpose of recognizing cardiac failure prior to surgery?

To prevent complications during surgery

What percentage of congenital heart defects do atrial septal defects (ASD) represent?

6-10%

What is the primary cause of atrial septal defects?

Failure of septal growth or excessive tissue reabsorption

Which congenital heart defect is classified under Cyanotic Outflow Obstruction?

Aortic Stenosis

Which type of pulmonary hypertension is often seen in infants with congenital heart defects?

Secondary pulmonary hypertension

Learn about congenital heart diseases, including the closure of the foramen ovale and ductus arteriosus, epidemiology statistics, and common complex lesions. Understand the definition as the failure of normal cardiac development or persistent fetal circulation after birth.

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