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13 Cards in this Set
- Front
- Back
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In VSD, the opening is usually _____ and found in ____
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-single
-membranous portion of the septum |
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In VSD, functional disturbance depends on 2 factors namely
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1. size of the defect\
2. statuse of the pulmonary vascular bed |
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In VSD, what type of defects are initially seen in adulthood?
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small to moderate defects
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Spontaneous closure of VSD is more commonly seen in ____
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small defects and usu in early childhood
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(VSD) Who are at greatest risk of developing pulmonary vascular obstruction (Eisenmenger syndrome)?
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Patients with :
large VSD and pulomary hypertension |
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(VSD) Who are at greatest risk of developing pulmonary vascular obstruction?
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Patients with :
large VSD and pulomary hypertension |
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Symptoms of patients with severe pulmonary vascular obstruction (Eisenmenger syndrome) in adult life
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1. exertional dyspnea
2. chest pain 3. syncope 4. hemoptysis |
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In patients with VSD, what is a critical factor for prognosis before an opertaion
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degree of elevation of pulmonary vascular resistance
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When is progression of pulmonary vascular disease unusual in post-op (VSD)?
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If the pulmonary vascular resistance is 1/3 OR LESS OF THE SYSTEMIC VALUE
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In VSD, RV outlfow tract obstruction develops in ___%-___% of patients presenting in infancy with moderate to large L->R shunt
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5-10%
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In VSD, how can you define the NUMBER and LOCATION of defects in the ventricular septum & the assoc. anomalies and hemodynamic physiology of the defects
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- 2D Echocardiography with spectral and color Doppler
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In VSD, what is required to assess the the status of the pulmonary vascular bed and clarify details of altered anatomy?
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Hemodynamic and angiogrphic study
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When is surgery NOT recommended in patients with VSD?
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pulmonary arterial pressures are normal with small shunts
(pulmonary-to-systemic ratios <1.5 to 2.0 : 1.0) |
