Congenital Heart

Disease
Cyanotic
Definition

• Structure and function abnormalities of heart which effect all systemic

reverse vein blood flow that contain low oxygen back to systemic
circulation.
• Raises cyanotic symptom
• Cyanotic central  bluish coloring on mucose caused by reduction of
haemoglobin concentration
1. Tetralogy of Fallot
• Patofisiology : four defects = mixing blood, reduction of blood flow to
lungs.
• Sign : cynotic, dyspnea, fatigue, finger clubbing, murmur.
• Treatment : medic and operative.
2. Pulmonal Atresia
• Failure formation of pulmonal valve  disconnect between RV with
pulmonal artery
• Sign and symptom : cyanotic on first day new born, murmur
3. Great Artery Transposition
• Blood flow out from RV and pulmonalis artery out from LV
• Sign and symptom : depends on there is an adequate blood mixing
between systemic circulation and pulmonal circulation, and with or
without pulmonal stenosis
• Treatment : operative  Mustard procedure