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18 Cards in this Set

  • Front
  • Back
how is the IVC presented in left atrial isomerism?
Interrupted with dilated azygos vein located posterior to Ao on same side of spine
how is the IVC presented in right atrial isomerism?
anterior to Ao on same side of spine
Pulmonary artery pressure rises in response to
^ flow volume and/or pressure as PVR ^
^ flow volume and/or high pressure causes the intimal and medial layers of the pulmonary aterioles to
hypertrophy > ^PVR
with prolonged exposure to ^flow vol /pressure, the pt develops PHTN and eventually
pulmonary vascular obstructive disease which is IRREVERSIBLE
when Pulmonary artery pressure exceeds systemic pressures, blood flow through intra/extracardiac....
reverses so that they become pulmonary to systemic or R-L shunts.
the RV eventually fails bc
f the increased resistance against which it must work to eject blood out
in PHTN, the RV is
dilated/thickened
systolic PA pressure
4(tr)2 + 7mmhg
diastolic PA pressure
end diastolic PI + 7mmhg
mean PA pressure
acceleration time divided by ejection flow (PW)
ductus arteriosus connects LPA to desc Ao at what level?
immediately distal to left subclavian artery
PDA is increased in what population?
preemies, rubella syndrome,
what are surgically created systemic to pulmonary shunts? Name 5 and describe
BT: subclavian artery-PA on side opposite of Ao arch
Central: SVC-MPA
Potts: Des Ao-PA
Waterson: Asc Ao-PA
is subaortic stenosis seen in ASD?
yes
what is another name for supracristal vsd? and what can happen to the aortic valve?
double commited subarterial, subpulmonic, aortic valve herniation (prolapse) and AI
what is anomalous orgin of LCA?
What will you see in echo?
-LCA originates from MPA and myocardium of LV is inadequately perfused w/deO2
-dilated RCA, MR
What is coronary artery fistuala?
a variably tortuous coronary artery that empties into a cardiac chamber or gereat vessel. it is usually RCA and usually affects right heart