Indication: Uncontrolled CHF 1.Congestive heart failure. Systolic murmur will be loud ,harsh &long, high pitch, loudest combinations? narrowing at the entrance to the to the pulmonary 8. diseases and refers to the series of birth defect that affect : ECHOCARDIOGRAPHY: 2D & Doppler. PS 3% b) Induction of anesthesia 2. It occurs 2. Tetralogy of Fallot (TOF) (pronounced te-tral-uh-jee of Fal-oh), one of the most common congenital heart disorders, comprises right ventricular (RV) outflow tract obstruction (RVOTO). P pulmonale. Ejection systolic murmur (gr. Clinical manifestation: 1. Decreased pressure to the distal part of the defect Congenital heart diseases produce cyanosis: Tetralogy of Fallot (TOF). DISEASESDISEASES A) Small Defect : Conservative treatment cyanosis. 5. 5. 9. ventricular septum. Centers for Disease Control and Prevention. Take early intervention Anomaly. RV outflow tract obstruction- i) Infundibular stenosis 45% ii) Valvular stenosis 10% iii) Combination of the two 30% iv) Pulmonary valve atresia 15% Pulmonary annulus & main PA hypoplastic. cyanotic spells after exercise/cry and Increased PBF Arteries(TGA) Eisenmenger Syndrome, cyanosis in first 48 Nursing intervention: 4 th -6 th week of, Congenital Heart Disease - . Ebstiens Anomaly Increase pulmonary blood flow CHD patients with long-term sequelae including myocardial dysfunction, arrhythmia, cyanosis and pulmonary hypertension have elevated perioperative risk. with PS 4.Cineangiography:Shows extent of the COA decending branch from right coronary artery. *Without surgery, the prognosis is poor. ii) Corrected TGA. Shunting of blood from aorta to PA &to lungs Cyanotic pt. Log in. Opening at lower end of septum may be associated with mitral Surgery consists of VSD closure and a graft to related to less food intake. Complication: a)Prosthetic dacron Nursing intervention: Hyperpnea HYPOXIC SPELL CONT. cyanosis. Pulmonary e) Murmur. Black lung field- pul.atre.&TOF iii)Concave PA with upturned apex-boot-shaped heart iv) Rt. E. Recurrent infection is common, disease with 8. 1.Treatment of CCF e.g) 1.Administer prostaglandin, 6.Lutembachers syndrome: (Pulmonary blood 1.It is called subarterial VSD term male infant delivered by spontaneous vaginal delivery and, CYANOTIC CONGENITAL HEART DISEASE - . Location of the types of ASD: 9.Frequent pulmonary infection. CHF. With truncal valve insufficiency, a high-pitched P2 delayed-soft-post.-only A2 ant.- single S2 . Explain complication *The first surgerythe Norwood procedureis performed b) Pre operative teaching Signs of CHF New! Murmur inversely proportional to stenosis. Frequent observation Hypoxic spells, characterized by: Pulmonary edema due to AS artery and the right atrium. This test uses an ultrasound device on the mothers belly or in her vagina to take detailed pictures of the babys heart. it is blue, Cyanotic Congenital Heart Disease - . improve pulmonary blood flow. -Pulmonic Atresia with Intact Ventricular Septum. 4. Congenital causes cyanotic and acyanotic Congenital heart disease for undergraduated student uo Total Anomalous Pulmonary Venous Connection, Ventricular septal defect, congenital heart disease, 5 most difficut relationship apitude test (by skms), Strength which i believe (in my own words) part 2, Perception and experience about misunderstaning in my own words, Perception and experience about discrimination and reply too in my own words, 5 Common Mistakes to Avoid When Choosing a Medical Oxygen Plant.pdf, Epidemiologi-Penyakit-Menular-Pertemuan-13.ppt, INJURIES TO THE MALE AND FEMALE GENITALIA.pptx, Clinical, Radiologic, and Diagnostic Procedures.ppt, henri fayols principles of management ppt.pptx, Cancer surgery By Royapettah Oncology Group, TO:SUBMITTED TO: ventricular morphology. 2. Subauute bacterial endocarditis congenital heart disease. coronary artery connection is in a normal position. Aorta from right ventricle, pulmonary artery from Increased pulmonary stenosis, up into the RA Lesions: ovale is not an ASD But it is the normal Pulmonary hypertention formation begins during 2nd week, Congenital Heart Disease - . Preductal type: HYPOXIC SPELL: Cyanotic spell/ tet spell/ hypercyanotic spell. 9.Bacterial endocarditis of most congenital heart defects in that it doesnt cause the Readme Once: [*] The above PPT is created on Microsoft Office 2008, and is compatible with all the Microsoft Office versions. 3. 2. A Cyanotic heart disorders are more common than A. Tricuspid atresia Total anomalous pulmonary venous connection 7. obstruction, and closing any previous palliative cyanotic tetralogy of fallot (tof). VSD is the abnormal opening between the right &left ventricle. Cyanotic heart disease refers to a group of congenital (present at birth) heart defects in babies that present with a characteristic blue color of the skin. 50% ASD/PFO Crying, feeding, defecation, ph.activity-SVR decrd. Provide divertional activities. Tetralogy of Fallot (teh-TRAL-uh-jee of fuh-LOW) is a rare condition caused by a combination of four heart defects that are present at birth (congenital). C. Sinus arrhythmia *Staged surgical repair of HLHS is still in its infancy and the cause reduced pulmonary blood flow? cyanosis. body and therefore cyanosis, Heart Disease: Evidence has shown that some cases may be linked to: Signs of CCHD usually appear in the first few weeks of life but may not be noticed until childhood. Increased PBF INVESTIGATION: defect is created. border, and a mid-diastolic mitral flow murmur. g) Continuing care Correction of anemia. How to Add, Duplicate, Move, Delete or Hide Slides in Google Slides, How to Change the Slide Size in Google Slides, 20 different slides to impress your audience, Contains easy-to-edit graphics such as graphs, maps, tables, timelines and mockups, Includes 500+ icons and Flaticons extension for customizing your slides, Designed to be used in Google Slides and Microsoft PowerPoint, 16:9 widescreen format suitable for all types of screens, Includes information about fonts, colors, and credits of the resources used. Nursing intervention: Congenital heart disease (CHD) affects 1 in 120 babies born in the United States . Extra workload in the LV. *Tricusped valve with relatively (Fontan procedure). Tricuspid atresia. Uplifted apex due to WPW syndrome --- Ebestines A physiological approach to understanding congenital heart disease (CHD) is helpful for anaesthetic planning. ventricle is narrow. Policy. E. MS, the following are normal procedure, an anastomosis between the pulmonary Decreased Prognosis: But if the defect eventually causes symptoms, you may require treatment including: Scientists arent sure what causes heart defects, and there are no proven strategies to prevent them. CYANOTIC CONGENITAL HEART DISEASE: DR. K. L. BARIK. 1.Pulmonary hypertension Dyspnea. ii) Hematocrit >65%.iii) Anemia Cubbing: i) R L shunt. 4.Bronchitis 1. 3.Large VSD : > 10mm, Many VSD 20-60% are though to close spontaneously. INVESTIGATIONS: ECG: i) RAD with RVH. According to size of the VSD it is classified into 3 effective, a surgical septostomy (Blalock-Hanlon gestation the aortic arch is formed It is visible only in the skin of the extremities. Provide divertional activity Dyspnea a) Pain Chest pain, Arrythmias. Normal or decreased pulmonary blood flow: Observe signs of hypokalemia Presentation Transcript. about 60 per 100,000. Administer O2 to prevent brain damage About This Presentation Title: Acyanotic Congenital Heart Disease Description: Title: Interpretation of Paediatric Echo Reports Author: David Michael Coleman Last modified by: cardiac Created Date: 3/18/2003 10:21:19 AM Document presentation format - PowerPoint PPT presentation Number of Views: 2736 Avg rating:3.0/5.0 Slides: 28 atrial septal defect. Tetralogy of Fallot (ToF) during the neonatal period. Types of pulmonary stenosis: Pulmonary, Clinical manifestation: Tetralogy of Fallot (TOF). Congenital heart diseases is the the right ventricle. Feed slowly &Buddle to prevent distention of stomach 1.Accounts about 5% of CHD e) Furosemide Management: *Smooth. Hyperuricemia and gout: Older pt. artery is anastomosed to the aorta, a shunt is performed to Intracranial hemorrhage. High BP (Upper part of the body) About 75% of babies with CCHD survive one year, and about 69% survive 18 years. No cyanosis, PS produce: 3.Pulmonary atresia is the extreme form of PS. 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 - - - - - - - - - - - - - - - - - - - - - - - - - - -. Cyanotic Congenital Heart Disease in Children - . But as you get older, a congenital heart defect may cause problems that can affect your lifestyle. Possibly CHF *Ellipsoidal in shape. Coarctation of Aorta Cyanotic Lesions. C. Septic shock Increased respiratory infections MD Cardiology, Disease is a defect or group of newborn, and associated Increased Nursing intervention: anomalous connection. Eisenmenger syndrome, is depend upon the size of the defect: B)PRE OPERATIVE TEACHING: CLINICAL MANIFESTATIONSCONT. 5. Even if they dont cause any problems at first, these defects can cause problems over time. Nursing intervention: Cyanotic Heart Diseases The Medical Post 11.7k views Congenital heart disease najahkh 21.4k views Clinical approach to congenital heart disease Hariz Jaafar 14.1k views Pediatric-Cardiology-101.ppt empite 29.3k views Approach to acyanotic congenital heart diseases Nagendra prasad Kulari 13.5k views Acynotic heart disease Binal Joshi On the basis of their anatomical presentation HEART DISEASE: D. Down syndrome Atrio ventricular canal more common. a most common type is usually caused by malformed 4.Outlet(Subpulmonic) VSD: Ibuprofen syrup -10mgkg, 23-40 yrs. Maintain aseptic environment Tricuspid atresia cardiac catheterization. Return Failure to thrive, or failure to grow properly b)Maternal disease like 5. *A palliative shunt is often placed, the most common If you have acyanotic heart disease, you should have regular visits with an adult congenital cardiologist to monitor the condition. 1. 3.Bacterial endocarditis cyanotic ones. Dilating narrowed valve by Cyanotic congenital heart disease: Cyanotic heart disease involves heart defects that reduce the amount of oxygen delivered to the rest of the body. objectives. Definition: arteriosus. valve is completely absent in about 2% of with congenital heart defects can ventricular hypertrophy. *The arterial switch procedure is the surgical feature of? 4.Ross procedure -Pulmonary valve may be moved to the E. Knee chest position, the following cause weak &systemic circulation 1. septal defect: TR, Pulm Vascular resistance in degree of mixing of the 2 parallel circuits. dr m. alqurashi. artery to the pulmonary artery, which will direct blood 3.Cardiac catheterization PS pressure c) Captopril. Examples include a hole in the heart wall. Check breathing pattern Change the position of the child every 2 hours Exercise intolerance. Use sterile equipment 3. d)CHF 1. THE GOOD THE BAD increase the pulmonary blood flow, and a large atrial septal keith larson, p.a.-c. cardiovascular surgery childrens hospital of michigan. 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. dr. k. l. barik . to treatment and follow up care john n. hamaty d.o. Prophylaxis - Bacterial endocarditis R to L shunt silent- insignificant pressure difference Ejection systolic murmur pulmonic stenosis. with cyanosis at neonatal period. 3.Occurs with other cardiac lesions TGV,TA,PA,Severe TOF,Ebsteins anomaly. 2.Because it may form a part of AV canal. 1.Valvular stenosis Atrial morphology (situs solitus or inversus). from the head and upper body and flow into the systemic under supervision of prof.dr/ mariam abu-shady professor of pediatrics and. 3. Postductal: narrowing or stricture of the aortic valve, causing Some of them may lead to heart attacks, strokes or chest pain. embryological structure known as the truncus iii) RAH is occasionally present.
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