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Cardio-Path
Congenital Heart Disease
28
Pathology
10/12/2010

Additional Pathology Flashcards

 


 

Cards

Term
Embrylogically when do most congenital heart diseases develop
Definition
3-8 weeks
Term
What heart defect is associated with maternal rubella infections
Definition
Patent Ductus Arteriosus
Term
What is the most common congenital haert defect?
Definition
VSD
Term
What is the most common cyanotic congenital heart disease
Definition
Tetrology of Fallot
Term
When would you want to keep a patent ductus open and how would you do it?
Definition

Transposition of the Great Vessels

PGE2 Administration

Term
What congenital Heart Defect is associated with Marfan's syndrome
Definition
Mitral prolapse
Term
What congenital heart disease is associate with Down's Syndrome
Definition
AVSDs
Term
What congenital heart disease is associated with Turner's syndrome
Definition
Coarctation of the Aorta
Term
What is Cyanosis Tardive and When would you see it?
Definition

Shunt reversal making the patient cyanotic

Occurs when Pulmonary HPTN causes Right heart pressure to equal left heart pressure

 

Term
What would be some possible cues of a long standing right-left shunt
Definition

Cyanosis

Polycythemia

Term
What Left right shunt will lead to pulmonary hypertension and which will not
Definition

Will: VSD, PDA, ASVD

Will not: ASD

Term
What is the effect of increased pressure on pulmonary arteries
Definition
Medial Hypertrophy and vasoconstriction-> Obtructive Intimal Lesions-> Increase Pulmonary resistance
Term
Location of the most common ASD
Definition
Incompitance of Fossa Oval
Term
What valvular disorder is a secundum ASD associated with?
Definition
Cleft Anterior Mitral Valve
Term
What is a Sinus Venosis ASD
Definition
Usually a SVC-Rt. Pulmonary Vein connection
Term
What is the prognosis for a ASD
Definition

Only 10% develop Pulmonary HPTN

Surgery can prevent complications

Term
What characteristics of a VSD have a better prognosis
Definition
Small VSD in the Muscular Septum
Term
What are the mechanisms to close a patent ductus
Definition

Endometacin

Catheter implant

Surgery

Term
What the characteristics of Tetrology of Fallot
Definition

Over-riding aorta

Pulmonary Stenosis

VSD

RV Hypertropy

Term
What determines the severity of tetrology of fallot
Definition
degree of pulmonary stenosis
Term
What congenital heart disease will produce a boot shaped heart
Definition
Tetrology of Fallot
Term
What congenital heart disease is associated with digeorge syndrome
Definition
Truncus Artereosus
Term
When is Transposition of the great vessels at least initially compatible with life
Definition

VSD

Patent Ductus

Patent Foramen Ovale

Term
What are some diagnostic clue for coarctation of the aorta
Definition

Bounding Upper Pulses w/ Faint Lower Pulses

Rib Notching on CXR from Collaterals

 

Term
What are common abnormalities associated with a completely Atretic pulmonary valve
Definition

Hypoplastic R. Ventricle

ASD

Term
What is the morphology of the heart with a completely atretic Aortic valve
Definition
Hypoplastic left heart
Term
What are the sites of Aortic Atresia
Definition

Subaortic

Valvular

Supravalvular

Term

What percetnt of live births  have  a congenital heart defect

 

Definition
1%