Updated: 12/17/2019

Congenital Heart Disease

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Questions
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Evidence
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Topic
Snapshot
Cyanotic
  • Tetralogy of Fallot  
    • associated with DiGeorge syndrome
    • best diagnosed with echocardiography
  • Transposition of the great vessels
    • aorta is connected to the right ventricle, and pulmonary artery is connected to the left ventricle 
    • cyanosis, normal pulmonary vasculature, and no signs of cardiomegaly
    • chest radiograph shows an "egg on a string" appearance  
    • EKG shows right axis deviation 
  • Truncus arteriosus
    • associated with DiGeorge syndrome
    • DiGeorge also presents with abnormal facies, thymic hypoplasia, cleft lip or palate, and hypocalcemia 
  • Tricuspid valve atresia
  • Total anomalous pulmonary venous return
Acyanotic
  • Patent ductus arteriosus
  • Ventral septal defect
  • Atrial septal defect
  • Coarctation of the aorta
Innocent heart murmur 
  • In a healthy child
  • Grade I/II, systolic murmur that decreases with standing (increase in preload)
  • Reassurance only

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Evidence (3)
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