Category Archives: Congenital Heart Disease

And finally, to look at another group of patients

And finally, to look at another group of patients with this kind of presentation; we have here a two-month old and a toddler with some similarities in their presentation. The two-month-old with mild upper respiratory symptoms for a few days

What is the management? Congenital Heart Disease .

What is the management? Again, to support the systemic circulation, be it to only the lower body as in coarctation or to all the systemic circulation, by giving prostaglandin to maintain the ductus allowing then the pulmonary artery to be

The early management

The management, the early management, is recognizing the congestive heart failure and treating it. Usually these babies go on to surgery once we make the diagnosis, at whatever age, of total anomalous pulmonary venous return. The fifth of these cyanotic

Total anomalous pulmonary venous return

If our patient turns out to have total anomalous pulmonary venous return, let’s remember what that means. First of all, there are four different types of total anomalous pulmonary venous return. The majority of which are super-cardiac type. The intracardiac

The electrocardiogram

The electrocardiogram is likely to show us right axis deviation and right ventricular hypertrophy. I’ll make a comment now that if you throw the EKG of babies with cyanotic congenital heart disease, tetralogy or transposition into a batch of newborn

This x-ray is actually from a newborn

This x-ray is actually from a newborn with tetralogy of Fallot but the point to make is that it does not often show the typical boot-shaped heart that we associate with tetralogy of Fallot. This, on the other hand, is

Whether to give oxygen

The question of whether to give oxygen is always interesting because the tendency with any blue baby of course would be to give oxygen. But to warn you that in some of our babies we are concerned about giving oxygen

Our cyanotic newborn

Let’s continue with the case presentation of our cyanotic newborn and what workup we might consider doing in helping us to focus first of all to distinguish this cyanotic congenital heart disease from other causes of cyanosis. Looking at these

Peripheral cyanosis and central cyanosis

As we think about the differential between peripheral cyanosis and central cyanosis, again a distinguishing feature with regards to the mucous membranes is that in peripheral cyanosis the mucous membranes are pink. In contrast to cyanotic mucous membranes in central

With regards to chromosome 21

With regards to chromosome 21 there is an association “Catch-22”. And the CATCH is an acronym for the defects that we commonly see here. This includes the cardiac anomalies, the facial abnormalities, the thymic hypoplasia, the cleft palate and the

Congenital Heart Disease

We are going to talk about congenital heart disease. Congenital heart disease represents about 1% of all live-born children; 8:1,000 of live-born children will have some form of congenital heart disease of varying severity. Some cases are very very mild