atrial septal defect (ASD) - Answers failure of an opening or foramen to close between the atria
after birth
Manifestations of ASD - Answers fatigue, delayed growth, CHF, murmur left sternal border, split
heart sounds
Education for ASD - Answers May be asymptomatic in young children or baby; surgical closure
or patch.
ventricular septal defect (VSD) - Answers flaw in the septum that divides the two ventricles of
the heart
Manifestations of VSD - Answers heart failure, poor weight gain, loud harsh holosystolic murmur
and systolic thrill heard over left lower sternal border.
Treatment of VSD - Answers may close spontaneously in the first year, if not need surgery,
Digoxin
patent ductus arteriosus - Answers failure of the ductus arteriosus to close after birth, resulting
in an abnormal opening between the pulmonary artery and the aorta
Manifestations of patent ductus arteriosus - Answers Bounding pulse, dyspnea, tachypnea,
delayed growth, systolic murmur under left clavicle referring to back, pulmonic thrill
Patent ductus arteriosus treatment - Answers Close with indomethacin; open or maintain with
PGE analogs, NSAID, surgical
Tetralogy of Fallot - Answers congenital malformation involving four distinct heart defects,
pulmonary stenosis, right ventricular hypertrophy, overriding aorta, ventricular septal defect.
Manifestations of tetralogy of fallot - Answers Acute cyanosis at birth or gradual cyanosis
Gradual clubbing, poor growth; Tet spells
If untreated, emboli, stroke, brain abscess, seizures, systolic murmur L ICS, holosystolic murmur
LLSB
Coarctation of aorta - Answers congenital cardiac condition characterized by a narrowing of the
aorta, hypertension and CHF
Manifestation of Coarctation of aorta - Answers increased BP in arms, weak pulse in legs,
bounding pulse in arms, weakness or pain in legs with exercise, systolic ejection murmur
interclavicular.
Transposition of Great arteries - Answers Incompatible with life, cyanosis after birth