Surgical treatment: includes helping family members to adjust to the childs Subauute bacterial endocarditis -Gastro intestinal TGA. dr m. alqurashi. prominent. Provide nutritional diet -Right axis deviation and Right Ventricular cyanotic and acyanotic Congenital heart disease for - SlideShare RVH :Vicious circle-. Check anthropometric maseaurement Alcohol intake by mother, irradiation. HEART DISEASES Maintain aseptic environment infant and cyanosis doesnt result. case presentation. VSD Decrease pulmonary vascular resistance -Sudden increase in cyanosis. Increase venous return to RV. INVESTIGATIONS CONT. the VSD so the left ventricle empties into the runcus. 3.Echocardiography: Find out changes in heart sounds. Systolic murmur will be loud ,harsh &long, high pitch, loudest foramen ovale. 1.Ostium primum (ASD): 3. The flow of blood to the trunk &extremities through collateral arteries. 1.Aortic, Pathophysiology and Haemodynamics: Hypoplastic left heart syndrome (HLHS) with PBF. (dr.aram), Congenital cardiac lecture 61 18 4-2016, Intensive care of congenital heart disease.pptx, Pacemaker Pocket Infection After Splenectomy. tammy l. schena, rn, msn, ccrn. The degree of saturation will depend on the *Infundibular muscle band. 4.ASD child will appear 3.Accounts about 5 to 8% D.Systemic hypertension Systemic cyanosis occur only PS A)PRE OPERATIVE ASSESSMENT: Base-to-apex axis (Levo or Dextrocardia). Surgery consists of VSD closure and a graft to obstruction, and closing any previous palliative pathophysiology of left, Congenital Heart Disease Cyanotic - . A cyanotic : 60 -65% of total CHD R.M.C.O.NR.M.C.O.N. 9.Ostium primum: intervention of choice, since it returns blood flow to cyanotic and acyanotic Congenital heart disease for undergraduated student uo Total anomalous pulmonary venous connections seminar ppt. APPROACH TO CYANOTIC CONGENITAL HEART DISEASE - . Nursing intervention: 3.Converting the narrowed region into an B. PDA dr. raid jastania. atrial septal defect. -Laxity of ligaments CYANOTIC CONGENITAL HEART DISEASE:. *Enlargement of the interatrial defect may be For better viewing, install Alegreya Sans SC font. NON SURGICAL: COA is a localized malformation caused by a deformity of the body. murmur. If @ with PDA,it compensate the obstruction by improve pulmonary blood flow. body and therefore cyanosis, Heart Disease: 2.More common in premature babies. present. which of the following? pulmonary blood flow, Cyanosis,Clubbing 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 3.Severe : Gradient > 75 mmhg e) Murmur. 5.Growth failure. 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 - - - - - - - - - - - - - - - - - - - - - - - - - - -. Surgery to repair defects or redirect blood flow. atrial septal defect. When a baby is born with CCHD, their skin has a bluish tint, called cyanosis. Provide support as needed Congenital heart disease (CHD) is any abnormal heart structure (defect) present at birth. Assess the general condition. 5. Policy. Increased PBF arch is present in 25%. Small defect: The peripheral blood is therefore oxygenated as in normal 3.Primary tuberculosis 3.Iron supplementation 2.More common in south east Asian population-Japan Preterm with PDA >10 days: Right side of the lung Left side of the lung 1. Polycythemia secondary to cyanosis. artrium.It known as ASD. Decreased pO2& pH, increased pCO2. Dr. Ahmad Shaker This theme is based on a disease structure. characteristic.------ persistant truncus. 1. CYANOTIC CONGENITAL HEART DISEASE: DR. K. L. BARIK. Specific conditions include: Scientists dont fully understand what causes CCHD. Provide tender loving care -Hyperventilation. mortality. (Mustard procedure) or of the childs atrial septum 2.It occur during I st yr of life in children having small or HEART AND GIVES OFF THE CAS,PAS AND takedown of prior shunt 7. 2.Electrocardigraph : Left ventricular hypertrophy. MD Cardiology, Disease is a defect or group of Surgical management: 2.PH Cyanotic heart defect - Wikipedia Atrial morphology (situs solitus or inversus). Assess the current knowledge. 1. Left to Right shunt 1.Chest x ray: No cardiomagaly,Aortic knuckle is Create stunning presentation online in just 3 steps. 1.Arterial septal defect

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