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CONGENITAL HEART DISEASE

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  • 8/1000 live births, can present with heart murmur, heart failure, or cyanosis  

Increased risk


Maternal factors

  1. diabetes, phenylketonuria
  2. medication, alcohol or drug use
  3. infection (e.g. rubella, CMV)


Infant factors

  1. prematurity (e.g. PDA)
  2. chromosomal abnormalities (e.g. Down syndrome)
  3. positive family history (2-4% risk if sibling affected)

Most common lesion: VSD

 

 

congenital heart disease can be categorized as:



L to R shunts: 

 

  1. VSD
  2. ASD
  3. PDA
  4. endocardial cushion defect

Cyanotic

  1. Tetralogy of Fallot
  2. Transposition of Great Arteries (TGA)

Obstructive lesions:

 

  1. aortic stenosis
  2. pulmonic stenosis
  3. coarctation of aorta
  4. hypoplastic left heart syndrome

 

Subacute bacterial endocarditis (SBE)

 

  • prophylaxis should be given to all patients with congenital heart disease except those with an isolated secundum ASD, corrected VSD or PDA without residua at greater than 6 months after repair, or mitral valve prolapse without mitral regurgitation
CONGENITAL HEART DISEASE CONGENITAL HEART DISEASE Reviewed by Radiology Madeeasy on August 28, 2010 Rating: 5
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