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Common Chief Complaints

  • Cyanosis
  • Difficulty feeding
  • Failure to thrive

Cyanotic Heart Lesions

  1. Truncus arteriosus
    • Aorta and pulmonary artery are fused
    • Single vessel comes from both ventricles
  2. Transposition of great vessels
    • Aorta comes off RIGHT ventricle
    • Pulmonary artery comes off LEFT ventricle
  3. Tricuspid atresia
    • Blood unable to get from right atrium to right ventricle
  4. Tetrology of fallot
    • Overriding aorta
    • Ventricular septal defect
    • Right ventricular outflow tract obstruction
    • Hypertrophy of right ventricle
  5. Total anomalous pulmonary venous return
    • Pulmonary vein empties into the right ventricle

Ductal Dependent Lesions

  • Classically presents in first 30 days of life
  • Treatment = Prostaglandins
  • Common lesions
    • Hypoplastic left heart
    • Aortic stenosis
    • Coarctation of the aorta

Congestive Heart Failure

  • Common Presentation
    • Difficulty feeding
    • Organomegaly
    • Cardiomegaly on CXR
  • Treatment
    • Furosemide
    • Vasopressors
  • Admit

Additional Reading