Congenital Flashcards Preview

Echocardiography > Congenital > Flashcards

Flashcards in Congenital Deck (35)
Loading flashcards...
0
Q

Double outlet RV

A

More overriding
Sub aortic conus
Mv fibrous segment

1
Q

Parachute mitral

Association

A

Sub aortic membrane
Single papillary mm
shone complex ( left sided obstructive lesions)

2
Q

Continuous flow

A

Means Ao to Rv

Vsd does not have continuous flow

3
Q

Valsalva rupture

A

Associated with supra crystal vsd ( conal vsd)

More common Asian population

4
Q

Stitch artifact

A

3D echo

Occurs when breath taken during reconstuction

5
Q

Mv score

A

Abascal score

Calcification

6
Q

AV canal defect

A

Complete: inlet vsd, primum vsd
Partial: primum vsd, cleft MV

7
Q

Williams syndrome

A

Supra valvular AS

May overestimate gradient with pressure recovery

8
Q

Shones

A

Left obstruction

Memb vsd, av canal, congen MS

9
Q

Congenital PS

A

Systolic doming

10
Q

Noonan’s

A

Supra valvular pul stenosis
Hypertelorism
Webb nec

11
Q

Turner syndrome

A

Coarctation

Occ bicuspid

12
Q

Primum asd

association

A

Associated cleft MV

13
Q

Sinus venosus asd

association:

A

Partial anomalous pul vein

14
Q

Secundum asd

association:

A

Valv pul stenosis

15
Q

TTE missed asd

A

Most missed sinus venosus : high

16
Q

Sinus venosus association

A

Rv vol overload
Asd/pfo
Must see ra/caval junction

17
Q

Epstein association

A

Pfo
Asd
Wpw

18
Q

Congenital corrected xposition:

A
Av insertion
Vent inversion
L transposition do Ao/PV
Ao to anterior and left, PA posterior
Associated: left sided Epstein, pul stenosis, vsd, heart block
19
Q

Congenital M:F ratio

A

PDA, asd increased in female

Other increased in male

20
Q

VSD long term consequences:

A

LA and LV enlargement

21
Q

Severe tetralogy

A

Pulmonary atresia

Requires PDA or collaterals from desc Ao to pul art

22
Q

Tetralogy of fallout

A

Pul stenosis
Vsd muscular
Asd

23
Q

Rastelli

A

Rv to pa conduit

( pul stenosis tet- vsd closure with Rv to pa conduit

24
Q

D tga: complete transposition

A

Most common newborn cyanotic ( texts present later)
Best surg: Jantene ( arterial switch )
If pul stenosis then rastelli then second surg
( survival dependent on PDA, vsd or asd (best)

25
Q

Congenitally corrected transposition association

A

Vsd associated

26
Q

Congenitally corrected transposition association

A

Vsd associated

27
Q

Aorta anterior to pulm artery

A

Suggests TGV - transposition of great vessels

Also aov and pul v in same plane means TGV

28
Q

L TGA pathway

A

Systemic venous to RA then to LV then out pul artery then returns to LA then out RV to aorta
Vsd, pul stenosis, complete heart block , epsteins
(Congenitally corrected transposition)

29
Q

D TGA

A
Complete transposition of GA
Requires intervening at birth 
Interatrual baffle ( mustard/ senning) or arterial switch
30
Q

Vsd flow aorta valve

A

Supra cristal or conal causes the right sinus of valsalva to prolapse -vsd into Rv outflow
Membranous vsd directs to septal tricuspid leaflet

31
Q

Noonan

A

Pulm stenosis

Develops HCM later

32
Q

Try surg

A

Blalick taussig: L subclavian to pa

Then vsd patch vsd closure

33
Q

Position of Ao in sax Ltrans

A

Ao anterior and to left of pul artery

34
Q

Cleft mv

A

Ass with primum ASD