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CYANOTIC CONGENITAL HEART DISEASE

CYANOTIC CONGENITAL HEART DISEASE. DR M. ALQURASHI. CYANOTIC CHD. CYANOSIS DEFINITION OF CENTRAL CYANOSIS. IT IS BLUE DISCOLOURATION OF THE SKIN & MUCOUS MEMBRANES. IT IS DETECTABLE, WHEN THE DEOXYGENATED HEAMOGLOBIN IS MORE THAN 5 G/100 ML. (capillary)

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CYANOTIC CONGENITAL HEART DISEASE

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  1. CYANOTIC CONGENITAL HEART DISEASE DR M. ALQURASHI

  2. CYANOTIC CHD

  3. CYANOSISDEFINITION OF CENTRAL CYANOSIS IT IS BLUE DISCOLOURATION OF THE SKIN & MUCOUS MEMBRANES. IT IS DETECTABLE, WHEN THE DEOXYGENATED HEAMOGLOBIN IS MORE THAN 5 G/100 ML. (capillary) [ OXYGEN SATURATION OF ARTERIAL BLOOD <85% ] 1

  4. CYANOSIS CLASSIFICATION OF CYANOSIS IN NEWBORN • CENTRAL ( BEST AT TONGUE) : • CARDIAC. • PULMONARY. • NEUROMUSCULAR & C.N.S. • PERSISTENT PULMONARY HYPERTENSION. • METHAEMOGLOBINAEMIA.. • PULMONARY ARTERIOVENOUS FISTULA • PERIPHERAL ( FINGERS & TOES) : • PHYSIOLOGICAL ( COLD). • REDUCED CARDIAC OUTPUT.

  5. CONGENITAL HEART DISEASEPRESENTATION • CYANOSIS • CYANOSIS WITH DISTRESS (CYANOSIS WITH HEART FAILURE) • CONGESTIVE HEART FAILURE. • SHOCK

  6. CONGENITAL HEART DISEASEPRESENTATION (CONT..) • CYANOSIS • CYANOSIS WITH OBSTRUCTIVE PULMONARY FLOW . • TRICUSPID ATRESIA, • PULMONARY ATRESIA • CRITICAL PULMONARY STENOSIS • EBSTEIN’S ANOMALY • T.O. F.

  7. Tricuspid Atresia

  8. Ebstein's Anomaly

  9. Ebstein's Anomaly

  10. Tetralogy of Fallot

  11. Tetralogy of Fallot

  12. Tetralogy of Fallot

  13. PULMONARY ATRESIA

  14. CONGENITAL HEART DISEASEPRESENTATION (CONT..) • CYANOSIS with increase pulmonary flow (CYANOSIS WITH HEART FAILURE ) : • TRANSPOSITION OF THE GREAT ARTERIES • TOTAL ANOMALOUS PULMONARY VENOUS DRAINAGE.

  15. Transposition of great arteries

  16. Transposition of great arteries

  17. Transposition of great arteries

  18. Transposition of great arteries

  19. CONGENITAL HEART DISEASEPRESENTATION (CONT..) • HEART FAILURE (TACHYPNEA, TACHYCARDIA,SWEATING, PALLOR, POOR FEEDING AND MILD CYANOSIS) • LARGE V.S.D., P.D.A., A.V.S.D. • ANOMALOUS L.C.A.

  20. Atrioventricular Septal Defect

  21. CONGENITAL HEART DISEASEPRESENTATION (CONT..) • SHOCK • COARCTATION OF THE AORTA • CRITICAL AORTIC STENOSIS • HYPOPLASTIC LEFT HEART SYNDROME

  22. HYPOPLASTIC LEFT HEART SYNDROME

  23. HYPOPLASTIC LEFT HEART SYNDROME

  24. HYPOPLASTIC LEFT HEART SYNDROME

  25. CONGENITAL HEART DISEASEDIAGNOSTIC APPROACH • HISTORY • EXAMINATION • INVESTIGATION (CHEST X-RAY, ECG) • HYPEROXIC TEST • ECHOCARDIOGRAPHY

  26. CONGENITAL HEART DISEASE CHEST X-RAY • ABNORMAL HEART SIZE • ABNORMAL HEART POSITION • PULMONARY VASCULAR MARKINGS • ABNORMAL HEART SHAPE • BOAT-SHAPED HEART: T.O.F.,TRICUSPID ATRESIA • EGG ON SIDE: T.G.A. • SNOWMAN: T.A.P.V.D.

  27. CONGENITAL HEART DISEASEPROSTAGLANDIN INDICATION • CYANOTIC CARDIAC LESION WITH OBSTRUCTION TO PULMONARY BLOOD FLOW • PULMONARY ATRESIA • TRICUSPID ATRESIA . • CRITICAL PULMONARY VALVE STENOSIS • COMPLEX CYANOTIC C.H.D.

  28. CONGENITAL HEART DISEASEINDICATION OF PROSTAGLANDIN (CONT..) • CYANOTIC LESIONS WITH CLOSED PULMONARY RECIRCULATION • TRANSPOSITION OF GREAT ARTERIES • TOTAL ANOMALOUS PULMONARY VENOUS DRAINAGE (OBSTRUCTIVE)

  29. CONGENITAL HEART DISEASEINDICATION OF PROSTAGLANDIN (CONT..) • ACYANOTIC LESIONS WITH OBSTRUCTION OF SYSTEMIC FLOW • COARCTATION OF AORTA • INTERRUPTION OF AORTIC ARCH • CRITICAL AORTIC STENOSIS • HYPOPLASTIC LEFT HEART SYNDROME

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