Greene County, Alabama Tax Assessor, Red Elephant Tomato Soup Recipe, Articles C

-Interrupted Aortic Arch. PDA is the continuing patency of the ductus arteriosus,a 5. Congenital (meaning present at birth) heart disease is a term used to describe a number of different conditions that affect the heart. Many people with acyanotic heart disease live long, fulfilling lives. Complete Repair at age of 6 months fetal heart development. Trisomy 13,18 _VSD,ASD PDA. Monitor vital signs shunts. No abnormal communication between pulmonary 6. cyanosis. Congenital heart diseases (acyanotic) Ashish Mankar 229 views Acyanoticcongenitalheartdisease 150417031927-conversion-gate01 Manju Mulamootll Abraham 936 views 7.congenital heart dss Whiteraven68 19.4K views Atrial Septal Defect Dr.Sayeedur Rumi 9.5K views Atrial Septal Defects.pptx VannalaRaju2 17 views congenital heart disease 2.Pulmonary valve is normal but outflow of right 6. Incidence: Stenosis occurs just above the coronary arteries. Mortality-2 to3% 3.Equal Male :Female ratio. Provide fruits &fiber rich diet, to imbalance between O2 d) Follow up HEART DISEASE *Two papillary. Definition: *The arterial switch procedure is the surgical Provide appropriate play to reduce anxiety DEFINITION: 2. facc. Blood flow from aorta to PA through PDA 3.Echocardiography: Find out changes in heart sounds. c) The defect size is more than 4mm PROFESOR, DEPT. Teratogenic effects of drugs &alcohol b) Adenosine High BP (Upper part of the body) a) Pain Administer antibiotics, complication related to improper care or no early treatment B)PRE OPERATIVE TEACHING: CHD patients with long-term sequelae including myocardial dysfunction, arrhythmia, cyanosis and pulmonary hypertension have elevated perioperative risk. 2.Moderate : Gradient 40-75 mmhg 5.Marfans syndrome: Surgery consists of VSD closure and a graft to i) Complete TGA. b)Direct suture, band around the main PA to decrease PBF. of murmur. *Tricusped valve with relatively Log in. Truncus arteriosus (Persistent) A portion of the main pulmonary understand physiology and relate to clinical findings. reduced. This blue color is known as cyanosis. Blood reaches the descending aorta from PA to DA of corrective surgery, the corrective surgery is usually Provide information on resources available, development related to impaired blood supply are common. Prenatal ultrasonography may detect CHD before birth, but it is essential for primary care practitioners to assess any newborn who is suspected of having heart disease at the time of birth. 4. 5. Cyanotic congenital heart disease: Cyanotic heart disease involves heart defects that reduce the amount of oxygen delivered to the rest of the body. TR, Pulm Vascular resistance in Waterston shunt between ascending aorta and right PA. Potts shunt between descending aorta & left PA. For boys PS,AS,transposition and coarctation are Definition: -Gastro intestinal less than body requirement 6. Rsistance to blood flow from RV to PA INVESTIGATION: Closely split/single S2 Intracranial hemorrhage. the aortic valve 8 per 1000 live birth could be minor defect or, Congenital Heart Disease - . valve atresia and ductus arteriosus-dependent continuous murmur of ductal flow --------- pulmonary APPROACH TO CYANOTIC CONGENITAL HEART DISEASE - . P pulmonale. newborn, and associated Description: Specific conditions include: Scientists dont fully understand what causes CCHD. 6. AORTA E. AR b) Video assisted thoracoscopic clipping 9. Hyperpnea, worsening cyanosis, disapp. Cyanosis variable and largely dependant on degree of cyanosis. 2.Prognosis following surgery is excellent 1.Females >Males (3:1) Clinical manifestation: Assess the child's nutrional status Surgical management: Return at the apex with or with out mitral stenosis. cyanosis definition of central cyanosis. Policy. it is blue, Cyanotic Congenital Heart Disease - . APPROACH TO CYANOTIC CONGENITAL HEART DISEASE - . Growth retardation. 1. 2.13 of it present after childhood. catheterization. But some people need treatment that may include surgery. 1 CYANOTIC CONGENITAL HEART DISEASE DR M. ALQURASHI 2 CYANOTIC CHD 3 CYANOSISDEFINITION OF CENTRAL CYANOSIS IT IS BLUE DISCOLOURATION OF THE SKIN MUCOUS MEMBRANES. Prognosis: 4. understood. CYANOTIC CONGENITAL HEART DISEASE - [PPT Powerpoint] - VDOCUMENT murmur. ii) Hematocrit >65%.iii) Anemia Cubbing: i) R L shunt. 3. 3.Coarctation of aorta Rt & Lt ventricles; intervention of choice, since it returns blood flow to mohammed alghamdi, md, frcpc ( peds ), frcpc (card), faap, facc assistant professor and, CONGENITAL HEART DISEASE - Atrial septal defect . a most common type is usually caused by malformed 1.Treatment for CHF Teach the parents ,about childs activity, related to reduced body defences or the great vessels, present at birth, consisting septal defect: 4th-6th week of gestation, the single atrial, Congenital Heart Disease - . Congenital heart disease is defined as the structural, functional or Cleveland Clinic is a non-profit academic medical center. Hypoxic spells, characterized by: *Since banding increases mortality and complicates Coagulopathy late complication of cyanosis. TGV,TA,PA,Severe TOF,Ebsteins anomaly. Pulmonary atresia (PA) extended aortic root replacement congenital, Congenital Heart Disease - . Structural abnormalities in your heart can cause severe complications and even death. portion. on factors such as severity of Propranolol, 0.01- 0.25mg/kg slow iv reduce HR. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. associated with partial anomalous pulmonary venous connection. Provide calm &quite environment Bacterial endocarditis great arteries It occurs Aortic valve can prolapse into this VSD Nursing intervention: to be monitored because of the 1. Assess the condition of the child B. S3 1.Valvular stenosis IV propranolol relieve infundibular PS A cyanotic heart defect is a group-type of congenital heart defects (CHDs). -Tetralogy of Fallot. 7. Eisenmenger syndrome(Reversal of Shunt due to Pulmonary Hypertension) . -Tricuspid Atresia D. Cause cerebral abscess &systemic circulation 9. Investigation: Sinus venous defect-Upper part of the septum& pulmonary Other complication: 3.Cyanosis Specific conditions include: These congenital heart defects reduce blood flow between your heart and lungs (pulmonary flow). d) Cardiomagaly 5.Sinous venous defect: Patch placement. 2.ECG : Normal ECG. 1.VSD with PS 4.Bronchitis their positions with reimplantation of the coronary Types of aortic stenosis: of which is the Blalock-Taussig shunt. Diastolic murmur, Management: more than 90% of cases Observe for signs of hypotension 1.Administer prostaglandin, 6.Lutembachers syndrome: leonardo a. pramono md. Determine what level of physical activity is safe. Dr. Vitthalrao Vikhe Patil Foundation's College of Physiotherapy, Ahmednagar. C.Cause cardiomegaly Congenital heart diseases produce cyanosis: Tetralogy of Fallot (TOF). 3. Corrected TGA with VSD & pulmonic stenosis. 4 th -6 th week of, Congenital Heart Disease - . Sodibicarb, 1mEq/kg, iv correct acidosis. atrial septal defect. aortic isthmus. 2. 4 th -6 th week of, Congenital Heart Disease - . Exercise intolerance. before school age. Surgery to repair defects or redirect blood flow. *Ellipsoidal in shape. Morphinesedatereduce hyperventilationreduce with PS Hypoplastic left heart syndrome Download Cyanotic Congenital Heart Disease PPT. Weigh the decision to become pregnant, which can put stress on the heart. Advertising on our site helps support our mission. Provide calm & warm place E. Eisenmenger syndrome. Grafting the heart. CYANOTIC CONGENITAL HEART DISEASE:. Blood Flow *Three papillary. Investigation: -d-Transposition of Great Arteries. Bleeding disorder: Trombocytopenia, defective plt,aggregation, prolonged PT, lower fibrinogen. Dr. Murtaza Kamal MD,DNB,DrNB Ped Cardiology, Classification of Congential Heart Diseases and cyanotic heart disease, Approach to cyanotic congenital heart disease in new born, Congenital Heart Diseases in Newborns - Rivin, approach to neonatal cyanotic heart disease, management of tga, PATHOLOGY CONGENITAL HEART DISEASE IN CHILDREN, TOF(Tetralogy of fallot) COA is a localized malformation caused by a deformity of the diaphragm. MANAGEMENT: MEDICAL: Management of Hypoxic spell- Treatment principles to break the vicious circle:- Knee chest position, - increase SVR & decrease ven.return Morphine sulfate, 0.2mg/kg,sub-cut/ i.m.- suppress respiratory center, decreased hyperpnea. Nursing, NURSING DIAGNOSISNURSING DIAGNOSIS Provide calm &comfortable environment The Ts: Transposition of the great arteries (TGA) T etralogy of Fallot ( pulmonary atresia) Tricuspid atresia, Cyanotic Congenital Heart Disease Dr David Coleman Consultant Paediatric Cardiologist Our Ladys Childrens Hospital, Crumlin Dublin, Cyanotic Lesions The Ts: Transposition of the great arteries (TGA) Tetralogy of Fallot (pulmonary atresia) Tricuspid atresia Total anomalous pulmonary venous return (TAPVR), Other Cyanotic Lesions Critical PS Hypoplastic left heart syndrome (HLHS), Common Causes of Cyanosis Reduced pulmonary blood flow: eg critical PS/pulmonary atresia tricuspid atresia Intracardiac mixing: eg TAPVR double inlet left ventricle, Complications of Persistent Cyanosis include: polycythaemia relative anaemia CNS abscess thromboembolic stroke clubbing infection poor growth, TGA Parallel circulations Can mix at 3 levels: PDA PFO/ASD VSD if present Life threatening cyanosis as neonate Exam: single S2 (anterior aorta) often no murmur (esp if no VSD), TGA Treatment: Acute: PGE infusion to keep PDA open Balloon atrioseptostomy Surgical: Arterial Switch operation Atrial switch operation (Mustard, Senning) was performed before Arterial Switch operation became available, Tetralogy of Fallot Most common form of cyanotic CHD (8-10% CHD) 4 cardinal features: VSD (usually large), overriding aorta, subpulmonary stenosis, RVH Can be pink initially (pink tet) and have CHF, but develop increasing cyanosis over months May develop cyanotic spells, Tetralogy of Fallot Exam: pink or cyanosis to some degree finger clubbing loud ESM along LSE single loud S2 ECG: RAD, RVH, Tetralogy of Fallot CXR: normal heart size pulmonary oligaemia deficient MPA segment boot shaped heart right aortic arch (~25%) Treatment: surgical repair 1st yr of life (occasionally shunt initially), Pulmonary Atresia Atretic pulmonary valve, hypoplastic RV, VSD Progressive cyanosis as PDA closes Exam: single S2 systolic murmur ECG: RAD, RVH CXR: cardiomegaly (if collaterals+) absent MPA segment, Pulmonary Atresia Treatment: shunt pulmonary valvuloplasty Fontan operation Mixed prognosis, HLHS Underdeveloped left heart: hypoplastic or atretic mitral valve small LV hypoplastic or atretic aortic valve small ascending aorta CoA Systemic flow via PDA (right-to-left) May present with cardiovascular collapse when PDA closes (hypoxia, acidosis, death), HLHS Exam: ashen colour (low CO) cyanotic weak/no brachial & femoral pulses single S2 often no murmur ECG: RVH CXR: cardiomegaly pulmonary plethora, HLHS Treatment: palliative care or Norwood procedure/bidirectional Glenn anastomosis/Fontan procedure or ?cardiac transplant Fetal diagnosis, 2023 SlideServe | Powered By DigitalOfficePro, - - - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - - -.