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Congenital Heart Disease : An Overview
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CONGENITAL HEART DISEASE-AN OVERVIEW
Dr N.C.Joshi
Consultant Pediatrician,
Consultant at Nanavati Hospital,
Ex Dean:-B.J.Wadia Children's Hospital.


L -R SHUNT LESIONS

  • ASD (Atrial Septal Defects)

  • Types :

    • Ostium secundum

    • Sinus venosus defect

    • Ostium primum

    Anatomical types of atrial septal defects, viewed with the right atrial wall removed


    Clinical manifestations :

    • Asymptomatic

    Physical Examination :

    • Slender body build

    • Systolic ejection murmur

    • Widely split and fixed S2

    Cardiac findings of atrial septal defect

    Natural History :

    • It does not need SBE coverage (uncomplicated defect)

    • Spontaneous closure : rare

    • May manifest MVP (20%)

    EKG :

    • RAD & RHV with rsR' in V4R or V1

    Chest X-ray :

    • Heart is enlarged

    • Pulmonary vascularity is increased

    Surgery :

    • For L-R shunts with flow more than 2:1. Usually done at 3-5 years of age

 
 
 
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