An Outline of Congenital Heart Disease

An Outline of Congenital Heart Disease
It include the following :-
Pink (Acyanotic)
Blue (Cyanotic)
Critical Left Sided Obstruction
Acyanotic Congenital Heart Disease
Normal pulmonary blood flow
• Valvular lesions
• Coarctation
Increased pulmonary blood flow
• Shunt lesions
Valvular lesions
• Stenosis (Aortic valve ,Pulmonary valve and Mitral valve )
• Regurgitation (Aortic valve ,Mitral valve and Pulmonary valve)
• Stenotic lesions – semilunar valves ( Valvar dysplasia )
• Regurgitant lesions – semilunar valves (Valvar dysplasia ,Secondary to intervention for stenotic lesions ,Secondary to endocarditis )
• Mitral valve lesions (AV canal defects complete vs. partial ,Isolated MV lesions )
Coarctation
Narrowing that diminishes the aortic lumen and produces an Obstruction of the aortic arch ,Classically juxtaductal, although may occur anywhere along the aorta and May develop over time Femoral pulses should be checked routinely throughout childhood. Coarctation Characterized by weak femoral pulses, brachio-femoral delay in pulses and a systolic ejection type murmur heard loudest in the back.
Arm-leg blood pressure gradient (arm > leg) {Gradient greater than 30mmHg considered significant ,upper limb hypertension}