CHD Clinical Manifestations : Tetralogy of Fallot,Tricuspid Atresia

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Cardiology in Children

Congenital Heart Disease : An Overview

Pediatrics Cardiology in Children

Rheumatic Fever

Congenital Heart Disease

Cardiac Failure

Arrhythmias

Pulmonary Hypertension in Children: An Overview

Clinical Tools

Clinical Vignettes

Diseases & Conditions

Drugs Interaction Calculator

Podcasts

Patient Management Online

Diagnostic Dilemma

Question of the Day

Diagnostic Aid

VACCINE REMINDER

Get the Vaccine Schedule for your child."

Ask Queries

SPECIALIST ANSWERS

FIND DIAGNOSIS

Today's Poll

Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

No, it should be used only after drug sensitivity report

Yes, under guidance of an infectious disease expert

Vote

Results

CONGENITAL HEART DISEASE-AN OVERVIEW

Related topics

Prevalence,Etiology and Cardiac Malformations Genetic Causes of CHD

Cyanosis and Congestive Heart Failure and Cyanotic CHD

Obstructive Lesions of CHD

L-R Shunt Lesions of CHD

CHD Associated Anomalies

Dr N.C.Joshi
Consultant Pediatrician,
Consultant at Nanavati Hospital,
Ex Dean:-B.J.Wadia Children's Hospital.

Continue....

Clinical manifestations:

Tetralogy of Fallot

Components:

VSD
RV outflow tract obstruction (valvular and/or infundibular)
RVH
Over-riding of the aorta

Clinical Manifestations :

cyanosis

cyanotic spells

Physical Examination :

Cyanosis and Clubbing
RV tap (Lower Left Sternal Border)
S2 single
Intensity of the Systolic murmur depends on the degree of obstruction
EKG: RAD, RAE, RVH

Cardiac findings in cyanotic tetralogy of fallot (TOF):

A long SEM at the middle and upper LSB and a loud, single S2 are characteristic auscultatory findings of TOF.

Chest X-ray :

Boot- shaped heart"
Decreased pulmonary vascularity

Treatment:

Treatment of cyanotic spells

knee-chest position
morphine sulfate 0.1-0.2 mg/kg/SC or IM
NaHCO2 + O2
Vasoconstrictors (Neo-synephrine)
Propranolol

Treatment of Anemia :

Surgical :

Palliation

Blalock-Taussig
Waterston shunt
Pott's operation
Gore-Tex shunt

Corrective surgery:

Palliative procedures that can be used in patients with cyanotic cardiac defects with decreased Pulmonary Blood Flow.

Tricuspid Atresia

Types:	Cases (%)
Normally related great arteries	99(69)
Small VSD & PS	73
Intact ventricular septum with Pulmonary atresia	13
Large VSD without pulmonary stenosis	13
D-Transposition of great arteries	40(28)
VSD without pulmonary stenosis	26
VSD & PS	11
VSD & PA	3
L-Transposition of great arteries	4(3)

Clinical manifestations:

Physical Examination:

Cyanosis with or without clubbing
Systolic murmur with single S2
Hepatomegaly with inadequate interatrial communication
EKG: superior QRS axis, small RV forces
Chest X-ray
Heart Size-normal
Pulmonary Vascularity - decreased

Treatment :

Prostaglandin E1 : .05 mcg/kg/min. IV infusion (to keep ductus open)
Balloon septostomy
Surgical
Palliation
- Systemic-Pulmonary shunt (PS)
- Pulmonary artery banding (large VSD)
Corrective - Fontan's procedure

Next : Obstructive Lesions of CHD

Mail To Your Friend

Print This Article

Diseases & Conditions

Pediatric Oncall Journal

Pediatric Conferences

Ped Tools

Adverse Drug Reactions

Pediatric oncall book store

Partner Sites

Infection in Children

Pedcall

Medical ADRIS

Vaccine Reminder

Pediatric Oncall Journal

Educational Section

Disclaimer:

The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitute an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.

Sitemap For Doctor

Sitemap For Parent

Sitemap For Kids