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9 Cards in this Set

  • Front
  • Back
ductus venosus
bypasses liver

carries oxygenated blood from umbilical vein through fetal liver to the inferior vena cava
Foramen ovale
bypasses lungs

opening at lower portion of atrial septum in fetal heart
Ductus Arteriousus
bypasses lungs

channel of communication between main pulmonary artery and aorta in fetus
signs of CHF
tachycardia
peripheral vasoconstriction
diaphoresis

decreased UOP
edema [increased weight]
lung engorgement
lethargy, irritability, decreased weight
Patent Ductus Arterious
connection between the pulmonary artery and aorta
MOST COMMON
L-R

continuous machinery-like murmur
fatigue, dyspnea, frequent infections
decreased growth

can use Indocin with inhibits prostaglandins and closes PDA without surgery
Ventricular Septal Defect
abnormal opening in septum between vents
L-R
systemic circulation robbed of blood

harsh, pan-systolic murmur
congestive HF
fatigue, increased infections, growth retardation

surgery-- palliative [banding]
corrective [suture of small defects, dacron patch for larger]
atrial septal defect
abnormal opening in the wall between the left and right atria
L-R

often asymptomatic
murmur, fatigue

surgery- suture of patch

cardiac catheterization
Coarctation of the aorta
constriction of the lumen of the aorta at any point

NO shunting of blood

BP is elevated above contriction and decreased below constriction
HA, stroke, nose bleed
cold feet, mm spasms

surgery-- good results
Tetralogy of Fallot
4 defects:
pulmonary stenosis
VSD
over-riding of the aorta
R vent hypertrophy

allows mixing of blood!!

decreased blood supply to lungs

central cyanosis
murmur
blue speels
very poor growth
polycythemia
clubbing

complete repair [requires cardio-pulmonary bypass]
Good prognosis