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TCVS Congenital Cardiac Anomalies
TCVS Congenital Cardiac Anomalies
Anomalies
Jaime S. Nuevo MD
Acyanotic heart
diseases
Left to right shunts
PDA
ASD
VSD
AP WINDOW
COMBINATION
Clinical
manifestations
Failure to thrive
Heart murmur
RV failure in older age group
Infective endocarditis
Diagnostic work up
Non invasive
ECG
Chest X Ray
Cine CT Scan
Invasive
Hemodynamic studies
Angiogram
Electrophysiology study
management
Medical mangement
Treatment for heart failure
Lower pulmonary hypertension
Treatment for infective
endocarditis
Prepare patient for surgery
Catheter base treatment
Coil closure of PDA
Umbrella closure of ASD
Umbrella closure of VSD
Surgical treatment
PDA ligation/transection
Open heart srgery
ASD closure
VSD closure
AP window patching
common complex cardiac
anomalies
Tetralogy of fallot
Transposition of great
arteries
Total anomalous pulmonary
venous return
Pulmonary valve atresia with
intact septum
Hypoplastic left heart
syndrome
tetralogy of fallot
RV hypertrophy
Infundibulovalvar stenosis
Overriding of the aorta
VSD
indications for total
correction
Pulmonary artery size
2D Echo or Angiogram
Age
6 months or older
Cyanotic spells
Palliative Procedures
Increase flow to the lungs
PA growth
Blalock Taussig Shunt
Waterston Shunt
Result
Mortality
<5 % in total correction
Stage II - 8% - 20 %