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Page 1

heart disease

conginital

cyanotic

decrease
pulmonary blood

flow

TOF

tricusped

atresia

increase
pulmonary blood

flow

TGA

truncus
arteriosus

mixed

TAPVR

HLHS

non-cyanotic

L-RT shunt

VSD

ASD

PDA

endocardial
cushion defect

obstructive
stenosis

Pulmonary
stenosi

aortic stenosis

coarctation of
aorta

aquierd

reumatic heart
disease

kawasaki disease

infections

Page 13

The degree of
aortic stenosis
frequently
progresses with
growth and age.
Aortic insufficiency
usually develop .
serial follow up
with Echo is
indicated .
Balloon vavoplasty
.
surgical repair
require if balloon
unsuccessful .

Mild stenosis:
normal in ECG and
CXR .
moderate to
severe :
*ECG > L.
ventricular
hypertrophy .
*CXR> L.
ventricular
hypertrophy ,
dilatation of
ascending aorta or
aortic knop .
*Echo

Mild to moderate stenosis :
asymptomatic .
severe stenosis : exertional
dyspnea , exertional chest pain
and syncope.
newborn with critical stenosis
may present with symptoms of
HF .
- systolic ejection murmur at the
right second intercostal space
with radiates to the neck .
-systolic ejection click often is
heard .
-thrill may be present at the .
-the aortic component of S2 may
be decreased in intensity



* secundom
defect with
the hole in
the region of
the foramen
ovale . is the
most
common
ASD .
* the least
common
ASD is the
sinus venous
defect .

Failure of development
of the three leaflet of
the valve , insufficient
reapportion of tissue
around the valve .
Can be valvular ,
supvavular and
supravalvular .

Aortic

stenosis

Page 14

Done by Arwa Al-ahmadi , reviewed by shada albogami and Arwa Alahmadi (1436 H )

*IV infusion of
prostaglandin E1 . ,
inotropic agent ,
diuretics and other
supportive care .
balloon
angioplasty
surgical repair
most commonly
perform

In infantile
coarctation
marked
cardiomegaly , Rt
ventriculat
hypertrophy and
pulmonary edema
in older children :
l.ventricular
hypertrophy and
midly enlarged
heart .
hypertrophy
Rib-notching may
also be seen in
older children ( > 8
years )
*echo

Symptoms develop when aortic
ampula of the ductus closes .
In infantile coarctation
symptoms : poor feeding ,
respiratory distress , shock may
develop before 2 weeks of life .
classicaly the femoral pulses are
weeeker and delayed compared

-( radiowith the right radial pulse
femoral delay )
- there may be no murmur but S3
is often present .
older children may be
asymptomatic of have leg
discomfort during exercise ,
headache , or epistaxis .

in the Arterial hypertension
arms with low blood pressure in
the lower extremities is classic
and weeker pulse in femoral

femoral delay )-artery ( radio
the murmur is typically best
heard in the left inter-scapular
area of the back .
if there is abnormal aortic valve ,
there is systolic ejection murmur
and systolic ejection click .

*Usually
juxta-ductal
in position

During development of
aortic arch area near
the insertion of the
ductus arteriosus fails
to develop correctly ,
resulting in narrowing
of the aortic lumen .

Coarcta

tion of

the

aorta



https://en.wikipedia.org/wiki/Arterial_hypertension

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