CONGENITAL HEART LESIONS ((C.H.L

Size: px
Start display at page:

Download "CONGENITAL HEART LESIONS ((C.H.L"

Transcription

1 CONGENITAL HEART LESIONS ((C.H.L BY THE BOOKS: 0.8 IN FACT: 3-5% INCLUDING: - BICUSPID AORTIC VALVE MITRAL VALVE PROLAPSE LATE DIAGNOSIS -

2 :INCREASED INCIDENCE IN ADULTS BETTER DIAGNOSIS IN INFANCY BETTER TREATMENT: - MEDICAL CATHETERIZATION SURGERY -

3 ALMOST NO LESIONS DO NOT REQUIRE FOLLOW UP GOOD PRACTICE: FOLLOW AT VARYING INTERVALS DEPENDENT ON LESIONS IN 2007 IN CANADA: MORE ADULTS THAN CHILDREN WITH C.H.L

4 C.H.L - CYANOTIC - ACYANOTIC :8 OF IMPORTANCE LESIONS; 300 < ACYANOTIC 6: - Atrial Septal Defect Ventricular Septal Defect Patent Ductus Arteriosus Pulmonic Stenosis Bicuspid Aortic valve) Aortic Stenosis) Coarctation of Aorta - CYANOTIC 2: - Tetralogy of Fallot Transposition of the Great Arteries -

5 :IN ADULTS 3 GROUPS ENCOUNTERED :A) _MINOR LESIONS (ATRIAL SEPTAL DEFECT (SMALL PULMONIC STENOSIS MILD BICUSPID AORTIC VALVE MANY OTHERS +

6 :B) SIGNIFICANT LESIONS Atrial Septal Defect Patent Ductus Arteriosus Single Ventricle + Pulmonic Stenosis Fallot + Pulmonic Stenosis Ebstein Anomaly Eisenmenger Syndrome/ Bicuspid Aortic Valve Mitral Valve Prolapse - ARMY: RECRUITS MANY LESIONS

7 C) REPAIR TOTAL PARTIAL RESIDUAL LESIONS

8 FOLLOW UP- UTMOST IMPORTANCE :FEW LESIONS CURED P.D.A A.S.D MANY TOTAL ANOMALOUS PULMONARY VENOUS RETURN MANY

9 :FOLLOW UP INCLUDES HISTORY PHYSICAL E.C.G ECHOCARDIOGRAM HOLTER ERGOMETRY CATHETERIZATION - OCCASSIONALY

10 CLINICAL EXAMINATION HIGHLIGHTS FEMORAL PULSES SECOND HEART SOUND CLICKS (?SITTING POSITION (STANDING BACK -

11 C.H.L FOLLOW UP :MAJOR MEDICAL ISSUES (ARRHYTHMIAS (INTRINSIC/RELATED REPAIR ENDOCARDITIS HEART FAILURE PULMONARY HYPERTENSION TRANSPLANTATION

12 ARRHYTHMIAS COMMON ATRIAL FLUTTER MOST COMMON ATRIAL FIBRILLATION AGE RELATED TREATMENT: AS IN CASES WITHOUT C.H.L DIFFERENT ANATOMY ABLATION COMPLETE HEART BLOCK PARTLY RELATED TO ANOMALY CORRECTED TRANSPOSITION, POLYSPLENIA LEFT (ISOMERISM

13 ENDOCARDITIS.VERY N.B HIGH INDEX OF SUSPICION PREVENTION OF DENTAL PROBLEMS APPROACH MODIFIED GUIDELINES

14 HEART FAILURE - DYSFUNCTION TIME RELATED AGE RELATED OP. RELATED TREATMENT: AS IN CASES WITHOUT C.H.L?BIVENTRICULAR PACING

15 PULMONARY HYPERTENSION CRITICAL PRE-OP. AS INDICATION FOR SURGERY CRITICAL AT OP. FOR SUCCESS.CRITICAL POST OP N.B.: PREVENT EISENMENGER IF PRESENT: TREATMENT SIMILAR TO CASES WITHOUT C.H.L

16 TRANSPLANTATION USUALLY LATE- BURNED OUT C.H.L OR.POST OP OR TIME RELATED DETERIORATION :SPECIAL SITUATION EISENMENGER - PROTEIN LOSING ENTEROPATHY

17 PREGNANCY.MOST LESIONS, PRE / POST OP NO PROBLEMS NORMAL PREGNANCY / DELIVERY SBE PROPHYLAXIS / PROBABLY INDICATED :N.B.: CONTRAINDICATIONS PULMONARY HYPERTENSION EISENMENGER FROM - MODERATE AORTIC STENOSIS MODERATE LEFT SIDED OBSTRUCTION -

18 SPORT BASED ON BETHESDA CRITERIA [JAAC-2005] N.B. - VENTRICULAR DYSFUNCTION ARRHYTHMIAS PULMONARY HYPERTENSION -

19 C.H.L 8 COMMON LESIONS > 300 LESIONS ALTOGETHER :N.B.: COMPLEX LESIONS HYPOPLASTIC LEFT HEART - HYPOPLASTIC RIGHT HEART SINGLE VENTRICLE ISOMERISM - FINAL COMMON PATHWAY: FONTAN OPERATION

20 FONTAN OPERATION BYPASS RIGHT SIDE OF HEART CONNECT VENA CAVA TO PULMONARY ARTERIES :COMPLICATIONS ARRHYTHMIAS HEART FAILURE THROMBUS PROTEIN LOSING ENTEROPATHY

21

22

23 Single Ventricle - Bidirectional Glenn

24 Single Ventricle - completed Fontan

25 ADULTS CONGENITAL HEART LESIONS NEW SPECIALTY Ra b in Me d ic a l Ce n te r ± Ca s e s Fro m yrs 8 0 yrs Pe d ia tric + Ad u lt c a rd io lo g is t + Ad u lt c a rd io lo g is t Pe rs o n a l Fo llo w u p : 2 0, ye a rs

26 L E S IO N A.S.D. V.S.D. P.D.A. COARC TATION L O N G E V IT Y S C HO O L SPORT B E THE S D A AR MY H IG H E R E D U C A T IO N AL L l IA - AL L IA - AL L IA - AL L IA IB - PREG NA NC Y P H Y S IC A L WORK / / / / / PULMONIC STENOSIS AORTIC STENOSIS AL L ALL IA IB IA IB NO SPORTS - / / / - - // -

27 LESION LONGEVITY EDUCATION WORK Te tra lo g y ± Of Fa llo t Tra n s p o s itio n Mu s ta rd Ja te n e Fo n ta n e a rly: 5 0 % m o rt La te : Be tte r p ro g n o s is ± SCHOOL SPORT BETHESDA ARMY HIGHER ± 3 6 yrs - ALL IA, IB ALL IIA IA IB AS - - PHYSICAL PREGNANCY - -

28

Common Defects With Expected Adult Survival:

Common Defects With Expected Adult Survival: Common Defects With Expected Adult Survival: Bicuspid aortic valve :Acyanotic Mitral valve prolapse Coarctation of aorta Pulmonary valve stenosis Atrial septal defect Patent ductus arteriosus (V.S.D.)

More information

Index. cardiology.theclinics.com. Note: Page numbers of article titles are in boldface type.

Index. cardiology.theclinics.com. Note: Page numbers of article titles are in boldface type. Index Note: Page numbers of article titles are in boldface type. A ACHD. See Adult congenital heart disease (ACHD) Adult congenital heart disease (ACHD), 503 512 across life span prevalence of, 504 506

More information

Anatomy & Physiology

Anatomy & Physiology 1 Anatomy & Physiology Heart is divided into four chambers, two atrias & two ventricles. Atrioventricular valves (tricuspid & mitral) separate the atria from ventricles. they open & close to control flow

More information

Congenital Heart Defects

Congenital Heart Defects Normal Heart Congenital Heart Defects 1. Patent Ductus Arteriosus The ductus arteriosus connects the main pulmonary artery to the aorta. In utero, it allows the blood leaving the right ventricle to bypass

More information

CONGENITAL HEART DISEASE (CHD)

CONGENITAL HEART DISEASE (CHD) CONGENITAL HEART DISEASE (CHD) DEFINITION It is the result of a structural or functional abnormality of the cardiovascular system at birth GENERAL FEATURES OF CHD Structural defects due to specific disturbance

More information

September 26, 2012 Philip Stockwell, MD Lifespan CVI Assistant Professor of Medicine (Clinical)

September 26, 2012 Philip Stockwell, MD Lifespan CVI Assistant Professor of Medicine (Clinical) September 26, 2012 Philip Stockwell, MD Lifespan CVI Assistant Professor of Medicine (Clinical) Advances in cardiac surgery have created a new population of adult patients with repaired congenital heart

More information

5.8 Congenital Heart Disease

5.8 Congenital Heart Disease 5.8 Congenital Heart Disease Congenital heart diseases (CHD) refer to structural or functional heart diseases, which are present at birth. Some of these lesions may be discovered later. prevalence of Chd

More information

Uptofate Study Summary

Uptofate Study Summary CONGENITAL HEART DISEASE Uptofate Study Summary Acyanotic Atrial septal defect Ventricular septal defect Patent foramen ovale Patent ductus arteriosus Aortic coartation Pulmonary stenosis Cyanotic Tetralogy

More information

ECHOCARDIOGRAPHIC APPROACH TO CONGENITAL HEART DISEASE: THE UNOPERATED ADULT

ECHOCARDIOGRAPHIC APPROACH TO CONGENITAL HEART DISEASE: THE UNOPERATED ADULT ECHOCARDIOGRAPHIC APPROACH TO CONGENITAL HEART DISEASE: THE UNOPERATED ADULT Karen Stout, MD, FACC Divisions of Cardiology University of Washington Medical Center Seattle Children s Hospital NO DISCLOSURES

More information

Congenital heart disease. By Dr Saima Ali Professor of pediatrics

Congenital heart disease. By Dr Saima Ali Professor of pediatrics Congenital heart disease By Dr Saima Ali Professor of pediatrics What is the most striking clinical finding in this child? Learning objectives By the end of this lecture, final year student should be able

More information

CMS Limitations Guide - Radiology Services

CMS Limitations Guide - Radiology Services CMS Limitations Guide - Radiology Services Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations

More information

Congenital Heart Disease

Congenital Heart Disease Congenital Heart Disease Mohammed Alghamdi, MD, FRCPC, FAAP, FACC Associate Professor and Consultant Pediatric Cardiology, Cardiac Science King Fahad Cardiac Centre King Saud University INTRODUCTION CHD

More information

Clinicians and Facilities: RESOURCES WHEN CARING FOR WOMEN WITH ADULT CONGENITAL HEART DISEASE OR OTHER FORMS OF CARDIOVASCULAR DISEASE!!

Clinicians and Facilities: RESOURCES WHEN CARING FOR WOMEN WITH ADULT CONGENITAL HEART DISEASE OR OTHER FORMS OF CARDIOVASCULAR DISEASE!! Clinicians and Facilities: RESOURCES WHEN CARING FOR WOMEN WITH ADULT CONGENITAL HEART DISEASE OR OTHER FORMS OF CARDIOVASCULAR DISEASE!! Abha'Khandelwal,'MD,'MS' 'Stanford'University'School'of'Medicine'

More information

Dear Parent/Guardian,

Dear Parent/Guardian, Dear Parent/Guardian, You have indicated on school records that your child has an ongoing health problem that may require medication and/or treatment during the school day with rescue medication. Attached

More information

Adult Echocardiography Examination Content Outline

Adult Echocardiography Examination Content Outline Adult Echocardiography Examination Content Outline (Outline Summary) # Domain Subdomain Percentage 1 2 3 4 5 Anatomy and Physiology Pathology Clinical Care and Safety Measurement Techniques, Maneuvers,

More information

Screening for Critical Congenital Heart Disease

Screening for Critical Congenital Heart Disease Screening for Critical Congenital Heart Disease Caroline K. Lee, MD Pediatric Cardiology Disclosures I have no relevant financial relationships or conflicts of interest 1 Most Common Birth Defect Most

More information

Congenital heart disease: When to act and what to do?

Congenital heart disease: When to act and what to do? Leading Article Congenital heart disease: When to act and what to do? Duminda Samarasinghe 1 Sri Lanka Journal of Child Health, 2010; 39: 39-43 (Key words: Congenital heart disease) Congenital heart disease

More information

Pamela Heggie, RN BN Clinic Coordinator Northern Alberta Adult Congenital Heart (NAACH) Clinic Mazankowski Heart Institute

Pamela Heggie, RN BN Clinic Coordinator Northern Alberta Adult Congenital Heart (NAACH) Clinic Mazankowski Heart Institute Pamela Heggie, RN BN Clinic Coordinator Northern Alberta Adult Congenital Heart (NAACH) Clinic Mazankowski Heart Institute Brief Overview of Congenital Heart Disease Spectrum disorder Treatment & Impact

More information

Congenital Heart Disease: Physiology and Common Defects

Congenital Heart Disease: Physiology and Common Defects Congenital Heart Disease: Physiology and Common Defects Jamie S. Sutherell, M.D, M.Ed. Associate Professor, Pediatrics Division of Cardiology Director, Medical Student Education in Pediatrics Director,

More information

MEDICAL SCIENCES Vol.I -Adult Congenital Heart Disease: A Challenging Population - Khalid Aly Sorour

MEDICAL SCIENCES Vol.I -Adult Congenital Heart Disease: A Challenging Population - Khalid Aly Sorour ADULT CONGENITAL HEART DISEASE: A CHALLENGING POPULATION Khalid Aly Sorour Cairo University, Kasr elaini Hospital, Egypt Keywords: Congenital heart disease, adult survival, specialized care centers. Contents

More information

A SURGEONS' GUIDE TO CARDIAC DIAGNOSIS

A SURGEONS' GUIDE TO CARDIAC DIAGNOSIS A SURGEONS' GUIDE TO CARDIAC DIAGNOSIS PART II THE CLINICAL PICTURE DONALD N. ROSS B. Sc., M. B., CH. B., F. R. C. S. CONSULTANT THORACIC SURGEON GUY'S HOSPITAL, LONDON WITH 53 FIGURES Springer-Verlag

More information

Pediatric Echocardiography Examination Content Outline

Pediatric Echocardiography Examination Content Outline Pediatric Echocardiography Examination Content Outline (Outline Summary) # Domain Subdomain Percentage 1 Anatomy and Physiology Normal Anatomy and Physiology 10% 2 Abnormal Pathology and Pathophysiology

More information

Adult Congenital Heart Disease: What All Echocardiographers Should Know Sharon L. Roble, MD, FACC Echo Hawaii 2016

Adult Congenital Heart Disease: What All Echocardiographers Should Know Sharon L. Roble, MD, FACC Echo Hawaii 2016 1 Adult Congenital Heart Disease: What All Echocardiographers Should Know Sharon L. Roble, MD, FACC Echo Hawaii 2016 DISCLOSURES I have no disclosures relevant to today s talk 2 Why should all echocardiographers

More information

Absent Pulmonary Valve Syndrome

Absent Pulmonary Valve Syndrome Absent Pulmonary Valve Syndrome Fact sheet on Absent Pulmonary Valve Syndrome In this condition, which has some similarities to Fallot's Tetralogy, there is a VSD with narrowing at the pulmonary valve.

More information

Echocardiography in Adult Congenital Heart Disease

Echocardiography in Adult Congenital Heart Disease Echocardiography in Adult Congenital Heart Disease Michael Vogel Kinderherz-Praxis München CHD missed in childhood Subsequent lesions after repaired CHD Follow-up of cyanotic heart disease CHD missed in

More information

Paediatrics Revision Session Cardiology. Emma Walker 7 th May 2016

Paediatrics Revision Session Cardiology. Emma Walker 7 th May 2016 Paediatrics Revision Session Cardiology Emma Walker 7 th May 2016 Cardiovascular Examination! General:! Make it fun!! Change how you act depending on their age! Introduction! Introduce yourself & check

More information

ADULT CONGENITAL HEART DISEASE. Stuart Lilley

ADULT CONGENITAL HEART DISEASE. Stuart Lilley ADULT CONGENITAL HEART DISEASE Stuart Lilley More adults than children have congenital heart disease Huge variety of congenital lesions from minor to major Heart failure, re-operation and arrhythmia are

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Index Note: Page numbers of article titles are in boldface type. A Acute coronary syndrome(s), anticoagulant therapy in, 706, 707 antiplatelet therapy in, 702 ß-blockers in, 703 cardiac biomarkers in,

More information

Adult Congenital Heart Disease for the Internist

Adult Congenital Heart Disease for the Internist Adult Congenital Heart Disease for the Internist Saurabh Rajpal, MBBS, MD Assistant Professor Department of Internal Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical

More information

Adult Congenital Heart Disease for the Internist

Adult Congenital Heart Disease for the Internist Adult Congenital Heart Disease for the Internist Saurabh Rajpal, MBBS, MD Assistant Professor Department of Internal Medicine Division of Cardiovascular Medicine The Ohio State University Wexner Medical

More information

Cardiology Competency Based Goals and Objectives

Cardiology Competency Based Goals and Objectives Cardiology Competency Based Goals and Objectives COMPETENCY 1. Patient Care. Provide family centered patient care that is developmentally and age appropriate, compassionate, and effective for the treatment

More information

By Dickens ATURWANAHO & ORIBA DAN LANGOYA MAKchs, MBchB CONGENTAL HEART DISEASE

By Dickens ATURWANAHO & ORIBA DAN LANGOYA MAKchs, MBchB CONGENTAL HEART DISEASE By Dickens ATURWANAHO & ORIBA DAN LANGOYA MAKchs, MBchB CONGENTAL HEART DISEASE Introduction CHDs are abnormalities of the heart or great vessels that are present at birth. Common type of heart disease

More information

Adult Congenital Heart Disease Certification Examination Blueprint

Adult Congenital Heart Disease Certification Examination Blueprint Adult Congenital Heart Disease Certification Examination Blueprint Purpose of the exam The exam is designed to evaluate the knowledge, diagnostic reasoning, and clinical judgment skills expected of the

More information

Cardiac Catheterization Cases Primary Cardiac Diagnoses Facility 12 month period from to PRIMARY DIAGNOSES (one per patient)

Cardiac Catheterization Cases Primary Cardiac Diagnoses Facility 12 month period from to PRIMARY DIAGNOSES (one per patient) PRIMARY DIAGNOSES (one per patient) Septal Defects ASD (Atrial Septal Defect) PFO (Patent Foramen Ovale) ASD, Secundum ASD, Sinus venosus ASD, Coronary sinus ASD, Common atrium (single atrium) VSD (Ventricular

More information

: Provide cardiovascular preventive counseling to parents and patients with specific cardiac diseases about:

: Provide cardiovascular preventive counseling to parents and patients with specific cardiac diseases about: Children s Hospital & Research Center Oakland Cardiology Primary Goals for this Rotation 5.13 GOAL: Prevention, Counseling and Screening (Cardiovascular). Understand the role of the pediatrician in preventing

More information

2018 Guideline for the Management of Adults with Congenital Heart Disease

2018 Guideline for the Management of Adults with Congenital Heart Disease 2018 Guideline for the Management of Adults with Congenital Heart Disease A Selection of Tables and Figures ACC.org/GMSACHD 2018 Guideline for the Management of Adults with Congenital Heart Disease A report

More information

Notes by Sandra Dankwa 2009 HF- Heart Failure DS- Down Syndrome IE- Infective Endocarditis ET- Exercise Tolerance. Small VSD Symptoms -asymptomatic

Notes by Sandra Dankwa 2009 HF- Heart Failure DS- Down Syndrome IE- Infective Endocarditis ET- Exercise Tolerance. Small VSD Symptoms -asymptomatic Congenital Heart Disease: Notes. Condition Pathology PC Ix Rx Ventricular septal defect (VSD) L R shuntsdefect anywhere in the ventricle, usually perimembranous (next to the tricuspid valve) 30% 1)small

More information

Appendix A.1: Tier 1 Surgical Procedure Terms and Definitions

Appendix A.1: Tier 1 Surgical Procedure Terms and Definitions Appendix A.1: Tier 1 Surgical Procedure Terms and Definitions Tier 1 surgeries AV Canal Atrioventricular Septal Repair, Complete Repair of complete AV canal (AVSD) using one- or two-patch or other technique,

More information

The complications of cardiac surgery:

The complications of cardiac surgery: The complications of cardiac surgery: a walk on the Dark Side? Prof Rik De Decker Red Cross Children s Hospital CME Nov/Dec 2011 http://www.cmej.org.za Why should you care? You are about to leave your

More information

بسم هللا الرحمن الرحيم. The cardio vascular system By Dr.Rawa Younis Mahmood

بسم هللا الرحمن الرحيم. The cardio vascular system By Dr.Rawa Younis Mahmood بسم هللا الرحمن الرحيم The cardio vascular system By Dr.Rawa Younis Mahmood Introduction Evaluation of the cardio vascular system depend on history and physical examination by : Asking about cyanosis,blueness

More information

More History. Organization. Maternal Cardiac Disease: a historical perspective. The Parturient with Cardiac Disease 9/21/2012

More History. Organization. Maternal Cardiac Disease: a historical perspective. The Parturient with Cardiac Disease 9/21/2012 The Parturient with Cardiac Disease Pamela Flood M.D. Professor of Anesthesia and Perioperative Care Obstetrics, Gynecology and Reproductive Sciences University of California, San Francisco Maternal Cardiac

More information

PREGNANCY AND CONGENITAL HEART DISEASE

PREGNANCY AND CONGENITAL HEART DISEASE PREGNANCY AND CONGENITAL HEART DISEASE SIDDHARTH JADHAV M.D. Assistant Professor of Radiology E.B. Singleton Department of Pediatric Radiology Texas Children's Hospital COMMERCIAL DISCLOSURE - None Objectives

More information

Patent ductus arteriosus PDA

Patent ductus arteriosus PDA Patent ductus arteriosus PDA Is connecting between the aortic end just distal to the origin of the LT sub clavian artery& the pulmonary artery at its bifurcation. Female/male ratio is 2:1 and it is more

More information

CYANOTIC CONGENITAL HEART DISEASES. PRESENTER: DR. Myra M. Koech Pediatric cardiologist MTRH/MU

CYANOTIC CONGENITAL HEART DISEASES. PRESENTER: DR. Myra M. Koech Pediatric cardiologist MTRH/MU CYANOTIC CONGENITAL HEART DISEASES PRESENTER: DR. Myra M. Koech Pediatric cardiologist MTRH/MU DEFINITION Congenital heart diseases are defined as structural and functional problems of the heart that are

More information

ADULT CONGENITAL HEART DISEASES NURSING CARE: PRESENT AND FUTURE CHALLENGES. Haitham Kanan, Clinical Instructor King Faisal specialist Hospital

ADULT CONGENITAL HEART DISEASES NURSING CARE: PRESENT AND FUTURE CHALLENGES. Haitham Kanan, Clinical Instructor King Faisal specialist Hospital ADULT CONGENITAL HEART DISEASES NURSING CARE: PRESENT AND FUTURE CHALLENGES Haitham Kanan, Clinical Instructor King Faisal specialist Hospital Nursing Development and Saudization Objectives es At the

More information

9/8/2009 < 1 1,2 3,4 5,6 7,8 9,10 11,12 13,14 15,16 17,18 > 18. Tetralogy of Fallot. Complex Congenital Heart Disease.

9/8/2009 < 1 1,2 3,4 5,6 7,8 9,10 11,12 13,14 15,16 17,18 > 18. Tetralogy of Fallot. Complex Congenital Heart Disease. Current Indications for Pediatric CTA S Bruce Greenberg Professor of Radiology Arkansas Children s Hospital University of Arkansas for Medical Sciences greenbergsbruce@uams.edu 45 40 35 30 25 20 15 10

More information

MEDICAL MANAGEMENT WITH CAVEATS 1. In one study of 50 CHARGE patients with CHD, 75% required surgery. 2. Children with CHARGE may be resistant to chlo

MEDICAL MANAGEMENT WITH CAVEATS 1. In one study of 50 CHARGE patients with CHD, 75% required surgery. 2. Children with CHARGE may be resistant to chlo CARDIOLOGY IN CHARGE SYNDROME: FOR THE PHYSICIAN Angela E. Lin, M.D. Teratology Program/Active Malformation Surveillance, Brigham and Women's Hospital, Old PBBH-B501, 75 Francis St., Boston, MA 02115 alin@partners.org

More information

Heart and Lungs. LUNG Coronal section demonstrates relationship of pulmonary parenchyma to heart and chest wall.

Heart and Lungs. LUNG Coronal section demonstrates relationship of pulmonary parenchyma to heart and chest wall. Heart and Lungs Normal Sonographic Anatomy THORAX Axial and coronal sections demonstrate integrity of thorax, fetal breathing movements, and overall size and shape. LUNG Coronal section demonstrates relationship

More information

APPROACH TO CARDIAC HISTORY TAKING. Index

APPROACH TO CARDIAC HISTORY TAKING. Index Christopher Cheung APPROACH TO CARDIAC HISTORY TAKING Index General Presentation...1 2 Table 1 Congenital Heart Conditions...2 Questions to Ask...2 Table 2 PQRSTAAA Mnemonic Approach to Chest Pain...3

More information

Anesthetic Considerations in Adults with Congenital Heart Disease

Anesthetic Considerations in Adults with Congenital Heart Disease CRASH Vail, Colorado 2018 Colorado Review of Anesthesia for SurgiCenters and Hospitals and Ski Holiday! CRASH Vail, Colorado 2018 Colorado Review of Anesthesia for SurgiCenters and Hospitals Anesthetic

More information

Detailed Order Request Checklists for Cardiology

Detailed Order Request Checklists for Cardiology Next Generation Solutions Detailed Order Request Checklists for Cardiology 8600 West Bryn Mawr Avenue South Tower Suite 800 Chicago, IL 60631 www.aimspecialtyhealth.com Appropriate.Safe.Affordable 2018

More information

AORTIC COARCTATION. Synonyms: - Coarctation of the aorta

AORTIC COARCTATION. Synonyms: - Coarctation of the aorta AORTIC COARCTATION Synonyms: - Coarctation of the aorta Definition: Aortic coarctation is a congenital narrowing of the aorta, usually located after the left subclavian artery, near the ductus or the ligamentum

More information

The Fetal Cardiology Program

The Fetal Cardiology Program The Fetal Cardiology Program at Texas Children s Fetal Center About the program Since the 1980s, Texas Children s Fetal Cardiology Program has provided comprehensive fetal cardiac care to expecting families

More information

Congenital heart disease (CHD) is

Congenital heart disease (CHD) is Adults with Congenital Heart Disease: Multiple Needs of a Fast Growing Cardiac Patient Group MICHAEL A. GATZOULIS Royal Brompton Adult Congenital Heart Centre, National Heart & Lung Institute, London,

More information

3/14/2011 MANAGEMENT OF NEWBORNS CARDIAC INTENSIVE CARE CONFERENCE FOR HEALTH PROFESSIONALS IRVINE, CA. MARCH 7, 2011 WITH HEART DEFECTS

3/14/2011 MANAGEMENT OF NEWBORNS CARDIAC INTENSIVE CARE CONFERENCE FOR HEALTH PROFESSIONALS IRVINE, CA. MARCH 7, 2011 WITH HEART DEFECTS CONFERENCE FOR HEALTH PROFESSIONALS IRVINE, CA. MARCH 7, 2011 MANAGEMENT OF NEWBORNS WITH HEART DEFECTS A NTHONY C. CHANG, MD, MBA, MPH M E D I C AL D I RE C T OR, HEART I N S T I T U T E C H I LDRE N

More information

SURGICAL TREATMENT AND OUTCOME OF CONGENITAL HEART DISEASE

SURGICAL TREATMENT AND OUTCOME OF CONGENITAL HEART DISEASE SURGICAL TREATMENT AND OUTCOME OF CONGENITAL HEART DISEASE Mr. W. Brawn Birmingham Children s Hospital. Aims of surgery The aim of surgery in congenital heart disease is to correct or palliate the heart

More information

Coarctation of the aorta

Coarctation of the aorta T H E P E D I A T R I C C A R D I A C S U R G E R Y I N Q U E S T R E P O R T Coarctation of the aorta In the normal heart, blood flows to the body through the aorta, which connects to the left ventricle

More information

When to implant an ICD in systemic right ventricle?

When to implant an ICD in systemic right ventricle? When to implant an ICD in systemic right ventricle? Département de rythmologie et de stimulation cardiaque Nicolas Combes n.combes@clinique-pasteur.com Pôle de cardiologie pédiatrique et congénitale Risk

More information

Data Collected: June 17, Reported: June 30, Survey Dates 05/24/ /07/2010

Data Collected: June 17, Reported: June 30, Survey Dates 05/24/ /07/2010 Job Task Analysis for ARDMS Pediatric Echocardiography Data Collected: June 17, 2010 Reported: Analysis Summary For: Pediatric Echocardiography Exam Survey Dates 05/24/2010-06/07/2010 Invited Respondents

More information

Adults With Congenital Heart. Disease. An Expanding Population. In this article:

Adults With Congenital Heart. Disease. An Expanding Population. In this article: Adults With Congenital Heart Disease An Expanding Population Continued progress in diagnosing and managing infants and children with congenital heart disease will likely result in a better prognosis and

More information

Notes: 1)Membranous part contribute in the formation of small portion in the septal cusp.

Notes: 1)Membranous part contribute in the formation of small portion in the septal cusp. Embryology 9 : Slide 16 : There is a sulcus between primitive ventricular and bulbis cordis that will disappear gradually and lead to the formation of one chamber which is called bulboventricular chamber.

More information

Foetal Cardiology: How to predict perinatal problems. Prof. I.Witters Prof.M.Gewillig UZ Leuven

Foetal Cardiology: How to predict perinatal problems. Prof. I.Witters Prof.M.Gewillig UZ Leuven Foetal Cardiology: How to predict perinatal problems Prof. I.Witters Prof.M.Gewillig UZ Leuven Cardiopathies Incidence : 8-12 / 1000 births ( 1% ) Most frequent - Ventricle Septum Defect 20% - Atrium Septum

More information

Cardiac Emergencies in Infants. Michael Luceri, DO

Cardiac Emergencies in Infants. Michael Luceri, DO Cardiac Emergencies in Infants Michael Luceri, DO October 7, 2017 I have no financial obligations or conflicts of interest to disclose. Objectives Understand the scope of congenital heart disease Recognize

More information

Congenital Heart Disease in the Adult Presenting for Non-Cardiac Surgery

Congenital Heart Disease in the Adult Presenting for Non-Cardiac Surgery Page 1 Congenital Heart Disease in the Adult Presenting for Non-Cardiac Surgery Susan S. Eagle, M.D. Nashville, Tennessee Introduction: Advancement of surgical techniques and medical management patients

More information

Nursing Care of Children and their Families: Alterations in Cardiac Function

Nursing Care of Children and their Families: Alterations in Cardiac Function Nursing Care of Children and their Families: Alterations in Cardiac Function Congenital Heart Disease Incidence 4-10 per live births Extra cardiac defects: TE fistula, renal agenesis and diaphragmatic

More information

Heart and Soul Evaluation of the Fetal Heart

Heart and Soul Evaluation of the Fetal Heart Heart and Soul Evaluation of the Fetal Heart Ivana M. Vettraino, M.D., M.B.A. Clinical Associate Professor, Michigan State University College of Human Medicine Objectives Review the embryology of the formation

More information

Surgical Management Of Congenital Heart Disease II: Single Ventricle And Hypoplastic Left Heart Syndrome Aortic Arch Anomalies Septal Defects And...

Surgical Management Of Congenital Heart Disease II: Single Ventricle And Hypoplastic Left Heart Syndrome Aortic Arch Anomalies Septal Defects And... Surgical Management Of Congenital Heart Disease II: Single Ventricle And Hypoplastic Left Heart Syndrome Aortic Arch Anomalies Septal Defects And... Of Thoracic Arteries And Veins A Video Manual By Viktor

More information

Slide 1. Slide 2. Slide 3 CONGENITAL HEART DISEASE. Papworth Hospital NHS Trust INTRODUCTION. Jakub Kadlec/Catherine Sudarshan INTRODUCTION

Slide 1. Slide 2. Slide 3 CONGENITAL HEART DISEASE. Papworth Hospital NHS Trust INTRODUCTION. Jakub Kadlec/Catherine Sudarshan INTRODUCTION Slide 1 CONGENITAL HEART DISEASE Jakub Kadlec/Catherine Sudarshan NHS Trust Slide 2 INTRODUCTION Most common congenital illness in the newborn Affects about 4 9 / 1000 full-term live births in the UK 1.5

More information

Congenital Heart Disease An Approach for Simple and Complex Anomalies

Congenital Heart Disease An Approach for Simple and Complex Anomalies Congenital Heart Disease An Approach for Simple and Complex Anomalies Michael D. Pettersen, MD Director, Echocardiography Rocky Mountain Hospital for Children Denver, CO None Disclosures 1 ASCeXAM Contains

More information

Adult Congenital Heart Disease: What the Internist Needs to Know

Adult Congenital Heart Disease: What the Internist Needs to Know Adult Congenital Heart Disease: What the Internist Needs to Know KATHRYN J. LINDLEY, MD, FACC ASSISTANT PROFESSOR OF MEDICINE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE Epidemiology 1% of babies are born

More information

Survival Rates of Children with Congenital Heart Disease continue to improve.

Survival Rates of Children with Congenital Heart Disease continue to improve. DOROTHY RADFORD Survival Rates of Children with Congenital Heart Disease continue to improve. 1940-20% 1960-40% 1980-70% 2010->90% Percentage of children with CHD reaching age of 18 years 1938 First Patent

More information

Born Blue. Anesthesia and CHD. Kristine Faust, CRNA, MS, MBA, DNAP

Born Blue. Anesthesia and CHD. Kristine Faust, CRNA, MS, MBA, DNAP Born Blue Anesthesia and CHD Kristine Faust, CRNA, MS, MBA, DNAP Disclosures Disclosures None to Report Objectives Review all congenital defects in which the patient is blue Describe physiology of the

More information

Adult Congenital Heart Disease T S U N ` A M I!

Adult Congenital Heart Disease T S U N ` A M I! Adult Congenital Heart Disease T S U N ` A M I! Erwin Oechslin, MD, FRCPC, FESC Director, Congenital Cardiac Centre for Adults University Health Network Peter Munk Cardiac Centre / Toronto General Hospital

More information

Heart Disorders. Cardiovascular Disorders (Part B-1) Module 5 -Chapter 8. Overview Heart Disorders Vascular Disorders

Heart Disorders. Cardiovascular Disorders (Part B-1) Module 5 -Chapter 8. Overview Heart Disorders Vascular Disorders Cardiovascular Disorders (Part B-1) Module 5 -Chapter 8 Overview Heart Disorders Vascular Disorders Susie Turner, MD 1/7/13 Heart Disorders Coronary Artery Disease Cardiac Arrhythmias Congestive Heart

More information

Pattern of Congenital Heart Disease A Hospital-Based Study *Sadiq Mohammed Al-Hamash MBChB, FICMS

Pattern of Congenital Heart Disease A Hospital-Based Study *Sadiq Mohammed Al-Hamash MBChB, FICMS Pattern of Congenital Heart Disease A Hospital-Based Study *Sadiq Mohammed Al-Hamash MBChB, FICMS ABSTRACT Background: The congenital heart disease occurs in 0,8% of live births and they have a wide spectrum

More information

7th Congress of the Asia-Pacific Pediatric Cardiac Society

7th Congress of the Asia-Pacific Pediatric Cardiac Society 7th Congress of APPCS Wednesday, August 29, 2018 Thursday, August 30, 2018 Time Counter Ballroom 1 Ballroom 2 Ballroom 3 Junior Ballroom 2 Room 1 Room 2 Prefunction Area Level 1 07:00-07:30 08:00-20:00

More information

HISTORY. Question: What category of heart disease is suggested by this history? CHIEF COMPLAINT: Heart murmur present since early infancy.

HISTORY. Question: What category of heart disease is suggested by this history? CHIEF COMPLAINT: Heart murmur present since early infancy. HISTORY 18-year-old man. CHIEF COMPLAINT: Heart murmur present since early infancy. PRESENT ILLNESS: Although normal at birth, a heart murmur was heard at the six week check-up and has persisted since

More information

Adult Congenital Heart Disease

Adult Congenital Heart Disease Adult Congenital Heart Disease Anne Marie Valente, MD Boston Adult Congenital Heart Disease and Pulmonary Hypertension Program Division of Cardiology Brigham and Women s Hospital, Boston Children s Hospital

More information

Introduction. Pediatric Cardiology. General Appearance. Tools of Assessment. Auscultation. Vital Signs

Introduction. Pediatric Cardiology. General Appearance. Tools of Assessment. Auscultation. Vital Signs Introduction Pediatric Cardiology An introduction to the pediatric patient with heart disease: M-III Lecture Douglas R. Allen, M.D. Assistant Professor and Director of Community Pediatric Cardiology at

More information

4a.i. 4a.ii. Form 12: Pre Transplant Status Report. Height and Weight. Status.

4a.i. 4a.ii. Form 12: Pre Transplant Status Report. Height and Weight. Status. PHTS - Form : Pre Transplant Report Page of 5 Patient Details Hidden Show Show/Hide Annotations Stickies: Toggle All Toggle Open Toggle Resolved Form : Pre Transplant Report Print this Form t Started Was

More information

Cardiovascular Nursing Practice: A Comprehensive Resource Manual and Study Guide for Clinical Nurses 2 nd Edition

Cardiovascular Nursing Practice: A Comprehensive Resource Manual and Study Guide for Clinical Nurses 2 nd Edition Cardiovascular Nursing Practice: A Comprehensive Resource Manual and Study Guide for Clinical Nurses 2 nd Edition Table of Contents Volume 1 Chapter 1: Cardiovascular Anatomy and Physiology Basic Cardiac

More information

Congenital Heart Disease. Mohamed Waheed Elsharief.

Congenital Heart Disease. Mohamed Waheed Elsharief. Congenital Heart Disease Mohamed Waheed Elsharief. Objectives l By the end of this lecture you should be able to Fetal Circulation l For the fetus the placenta is the oxygenator so the lungs do little

More information

"Lecture Index. 1) Heart Progenitors. 2) Cardiac Tube Formation. 3) Valvulogenesis and Chamber Formation. 4) Epicardium Development.

Lecture Index. 1) Heart Progenitors. 2) Cardiac Tube Formation. 3) Valvulogenesis and Chamber Formation. 4) Epicardium Development. "Lecture Index 1) Heart Progenitors. 2) Cardiac Tube Formation. 3) Valvulogenesis and Chamber Formation. 4) Epicardium Development. 5) Septation and Maturation. 6) Changes in Blood Flow during Development.

More information

Pulmonic Ventricular Dysfunction Adult with Congenital Heart Disease

Pulmonic Ventricular Dysfunction Adult with Congenital Heart Disease Pulmonic Ventricular Dysfunction Adult with Congenital Heart Disease Louise Callow, RN, MSN, CPNP Pediatric Cardiac Surgery Nurse Practitioner University of Michigan, CS Mott Children s Hospital Ann Arbor,

More information

Adult with Cyanotic Congenital Heat Disease

Adult with Cyanotic Congenital Heat Disease Adult with Cyanotic Congenital Heat Disease Savitri Srivastava Director, Pediatric & Congenital Heart Disease Fortis Escorts Heart Institute Okhla Road, New Delhi Cyanotic Adult WCC & IVUS 2015 Adult Cyanotic

More information

Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions

Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS iib6@columbia.edu Pediatric Cardiology Learning Objectives To discuss the hemodynamic significance of

More information

Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS Pediatric Cardiology

Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS Pediatric Cardiology Cardiovascular Pathophysiology: Right to Left Shunts aka Cyanotic Lesions Ismee A. Williams, MD, MS iib6@columbia.edu Pediatric Cardiology Learning Objectives To discuss the hemodynamic significance of

More information

Pediatric Board Review Congenital Heart Disease. Steven H. Todman, M.D. Pediatric Cardiologist Louisiana State University

Pediatric Board Review Congenital Heart Disease. Steven H. Todman, M.D. Pediatric Cardiologist Louisiana State University Pediatric Board Review Congenital Heart Disease Steven H. Todman, M.D. Pediatric Cardiologist Louisiana State University Our Mission To discuss various types of congenital heart disease that are commonly

More information

The Chest X-ray for Cardiologists

The Chest X-ray for Cardiologists Mayo Clinic & British Cardiovascular Society at the Royal College of Physicians, London : 21-23-October 2013 Cases-Controversies-Updates 2013 The Chest X-ray for Cardiologists Michael Rubens Royal Brompton

More information

pulmonary valve on, 107 pulmonary valve vegetations on, 113

pulmonary valve on, 107 pulmonary valve vegetations on, 113 INDEX Adriamycin-induced cardiomyopathy, 176 Amyloidosis, 160-161 echocardiographic abnormalities in, 160 intra-mural tumors similar to, 294 myocardial involvement in, 160-161 two-dimensional echocardiography

More information

AMERICAN ACADEMY OF PEDIATRICS 993 THE NATURAL HISTORY OF CERTAIN CONGENITAL CARDIOVASCULAR MALFORMATIONS. Alexander S. Nadas, M.D.

AMERICAN ACADEMY OF PEDIATRICS 993 THE NATURAL HISTORY OF CERTAIN CONGENITAL CARDIOVASCULAR MALFORMATIONS. Alexander S. Nadas, M.D. AMERICAN ACADEMY OF PEDIATRICS 993 tnicular overload is the major problem and left ventricular failure occurs. Since for many years the importance of hepatomegaly in the diagnosis of cardiac failure has

More information

Supplemental Information

Supplemental Information ARTICLE Supplemental Information SUPPLEMENTAL TABLE 6 Mosaic and Partial Trisomies Thirty-eight VLBW infants were identified with T13, of whom 2 had mosaic T13. T18 was reported for 128 infants, of whom

More information

Successful radiofrequency catheter ablation in refractory atrial flutter developed 15years after Mustard's operation -a case report-

Successful radiofrequency catheter ablation in refractory atrial flutter developed 15years after Mustard's operation -a case report- Opening Remarks Free abstract sessions Successful radiofrequency catheter ablation in refractory atrial flutter developed 15years after Mustard's operation -a case report- An adult case of catheter ablation

More information

Case 47 Clinical Presentation

Case 47 Clinical Presentation 93 Case 47 C Clinical Presentation 45-year-old man presents with chest pain and new onset of a murmur. Echocardiography shows severe aortic insufficiency. 94 RadCases Cardiac Imaging Imaging Findings C

More information

Research article. Primary detection of congenital heart diseases in the Kyrgyz Republic

Research article. Primary detection of congenital heart diseases in the Kyrgyz Republic Research article Primary detection of congenital heart diseases in the Kyrgyz Republic Irina A. Akhmedova, Gulzada A. Imanalieva, Damir A.Abibillaev, Taalaibek Z. Kudaiberdiev Scientific Research Institute

More information

ADULT CONGENITAL HEART DISEASE AN UPDATE FOR CARDIOLOGISTS AND PRIMARY CARE PHYSICIANS

ADULT CONGENITAL HEART DISEASE AN UPDATE FOR CARDIOLOGISTS AND PRIMARY CARE PHYSICIANS ADULT CONGENITAL HEART DISEASE AN UPDATE FOR CARDIOLOGISTS AND PRIMARY CARE PHYSICIANS V.S. Mahadevan, MD, F.R.C.P. Director, Structural and Adult congenital Interventional Cardiology Program William W

More information

Index. radiologic.theclinics.com. Note: Page numbers of article titles are in boldface type.

Index. radiologic.theclinics.com. Note: Page numbers of article titles are in boldface type. Index Note: Page numbers of article titles are in boldface type. A ALCAPA. See Anomalous left coronary artery from the pulmonary artery. Angiosarcoma computed tomographic assessment of, 809 811 Anomalous

More information

Pediatric Cardiology Review for Primary Care. Mark Lewin, M.D. Children s Heart Center

Pediatric Cardiology Review for Primary Care. Mark Lewin, M.D. Children s Heart Center Pediatric Cardiology Review for Primary Care Mark Lewin, M.D. Children s Heart Center Overview Embryology of CHD Fetal Cardiology Select Congenital Heart Defects Cardiac Interventions Acquired Heart Disease

More information

HISTORY. Question: What type of heart disease is suggested by this history? CHIEF COMPLAINT: Decreasing exercise tolerance.

HISTORY. Question: What type of heart disease is suggested by this history? CHIEF COMPLAINT: Decreasing exercise tolerance. HISTORY 15-year-old male. CHIEF COMPLAINT: Decreasing exercise tolerance. PRESENT ILLNESS: A heart murmur was noted in childhood, but subsequent medical care was sporadic. Easy fatigability and slight

More information

B G C F

B G C F D E I A B G H C F http://2.bp.blogspot.com/_hhudkwzdma4/s1hz6-trldi/aaaaaaaaax4/isdfm81zqcw/s400/blood+vesssel.jpg 495 D D E F G J L M B A C H I K N O P Q R S T U V W X Y 496 Z http://antranik.org/wp-content/uploads/2011/12/gross-anatomy-of-the-heart-anterior-view.jpg

More information