Cyanotic congenital heart disease

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TOFSigns• 1.Central cyanosis &digital clubbing.• 2.Pulse is usually normal.• 3.The LT anterior hemi thorax may bulge anteriorly.• 4.Substernal RT ventricular impulse & systolic thrill alongthe LT sternal border in the third & forth spaces.• 5.Soft S2 with loud harsh ejection systolic murmur at theupper sternal border or it may be holosystolic murmurtoward the lower sternal border.• 6.During spells the murmur become softer.• 7.There may be continuous murmur of the collaterals.18
TOFInvestigations• CXR :the <strong>heart</strong> is not enlarged ,concavityis usually found in the area occupied bymain pulmonary a. With boot shape <strong>heart</strong>& Oligaemic lung fields .• ECG :will show RT axis deviation & RTventricular hypertrophy ,P wave is tall &peaked.• ECHO: will establish the diagnosis.19
Page 1 and 2: Patent ductus arteriosusPDA• Is c
Page 3 and 4: Pathophysiology of PDA• It is bas
Page 5 and 6: Investigation of PDA• In small PD
Page 7 and 8: Treatment of PDA• Surgical closur
Page 9 and 10: Coarctation of aorta• Means const
Page 11 and 12: Investigations ofcoarctation of aor
Page 13 and 14: Cyanoticcongenital heart diseaseCya
Page 15 and 16: Patho physiology of TOF• Systemic
Page 17: Clinical manifestation ofTOF• Sym
Page 21 and 22: TOFComplications• 1.Cerebrovascul
Page 23 and 24: Tricuspid Atresia• There is no ou
Page 25 and 26: Ebstein anomaly• There is downwar
Page 27 and 28: TGA with intact septumClinical mani
Page 29 and 30: CXR of TGA29
Page 31 and 32: TGA with large VSD• Will be manif

Cyanotic congenital heart disease

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