Congenital Heart Disease
cyanotic v acyanotic
outflow tract (conotruncal) lesions
Vascular rings
Ix Barium swallow and bronch (Normally (L) aortic arch ant to trach ant to oesophagus)
double outlet right ventricle
Ebstein anomaly
Eisenmenger (PHTN)
Surgery:
modified Blalock-Taussig shunts: (systemic, usually innominate, to pulm art)
Bidirectional Glenn shunt: SVC to R pulm art
Modified Fontane procedure: total cavopulmonary connection
Pulmonary artery banding
Ventricular separation
outflow tract (conotruncal) lesions
- Tetralogy of Fallot
- Truncus arteriosus
- primum atrial septal defect
- complete atrioventricular canal defect
Vascular rings
Ix Barium swallow and bronch (Normally (L) aortic arch ant to trach ant to oesophagus)
- (encircling)
- Bilateral indentations on swallow and bronch
- both pulsatile on bronch: Double arch
- R pulsatile on bronch: R Arch w PDA/LDA
- Left trach deviation and R main bronch compression > pulm sling
- Bilateral indentations on swallow and bronch
- (R systemic vessels inferno or behind)
- Bronch normal, defect on posterior oesophagus > aberant right subclavian
- Normal swallow, pulsatile ant trach compression > anomalous innominate
double outlet right ventricle
Ebstein anomaly
Eisenmenger (PHTN)
Surgery:
modified Blalock-Taussig shunts: (systemic, usually innominate, to pulm art)
Bidirectional Glenn shunt: SVC to R pulm art
Modified Fontane procedure: total cavopulmonary connection
Pulmonary artery banding
Ventricular separation