Congenital Heart Diseases
Congenital Heart Diseases
Congenital Heart Diseases
diseases
BY NUR FATIN NAJWA ROSLINORAZAM
Contents
Results in shunting down of blood from left to right atrium and then to the right ventricle
and pulmonary arteries.
As a results there is gradual enlargement of the right side of the heart and pulmonary
arteries.
Usually asymptomatic
Physical signs :wide fixed splitting of the 2nd heart sound and systolic
flow murmur over pulmonary valve
Investigations
CXR
ECG
Echocardiography
MANAGEMENT
-Surgery
Ventricular septal defects (VSD)
Normally the ductus closes soon after birth but sometimes it fails to do
so.
Since the pressure of aorta is higher than pulmonary artery there will
be continuous left to right shunt.
Clinical features
Asymptomatic/Silent
Dyspnea usually the first symptoms
A continuous machinery murmur is heard
Coarctation of aorta
CXR
CT-angio
MANAGEMENT
-Surgery/balloon dilatation/stenting
Tetralogy Of Fallot (TOF)
In adult:
-Usually asymptomatic
Dyspnea
Palpitation
Investigations
CXR
ECG
Echocardiography
Cardiac CT & MRI
Management
Give oxygen
Knee-chest position
Morphine
B-blockers
Endocarditis prophylaxis
Surgery is the only cure.
THANK YOU!