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Perinatal management of major congenital heart disease.

McGovern E, Sands AJ - Ulster Med J (2014)

Bottom Line: As most cases of major CHD are not identified prenatally, clinical examination of the newborn and pulse oximetry are also important means of identifying more cases.Clinicians must suspect CHD as a diagnosis in a cyanosed or shocked neonate and be familiar with appropriate management, namely the commencement of prostaglandin if a duct dependent cardiac lesion is suspected.Telemedicine can aid prompt diagnosis of CHD and therefore direct appropriate management.

View Article: PubMed Central - PubMed

Affiliation: Paediatric Basic Specialist Trainee, Paediatric Department, Galway University Hospital.

ABSTRACT
Congenital heart disease (CHD) is the most common form of congenital anomaly. Prenatal diagnosis of CHD has been associated with decreased morbidity and mortality for some forms of major CHD. As most cases of major CHD are not identified prenatally, clinical examination of the newborn and pulse oximetry are also important means of identifying more cases. Clinicians must suspect CHD as a diagnosis in a cyanosed or shocked neonate and be familiar with appropriate management, namely the commencement of prostaglandin if a duct dependent cardiac lesion is suspected. Telemedicine can aid prompt diagnosis of CHD and therefore direct appropriate management.

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Related in: MedlinePlus

Duct Dependent Coarctation of the Aorta Adapted from: http://www.uwhealth.org/american-family-childrens-hospital/pediatricpathways
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Related In: Results  -  Collection


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fig02: Duct Dependent Coarctation of the Aorta Adapted from: http://www.uwhealth.org/american-family-childrens-hospital/pediatricpathways

Mentions: Infants with a duct dependent systemic or pulmonary circulation and transposition of the great arteries are at risk of rapid demise and death in the first few days to weeks of life. Duct dependent systemic circulations often include the following conditions: HLHS; critical aortic stenosis; coarctation of the aorta; and interrupted aortic arch. Duct dependent pulmonary circulations may include the following conditions: pulmonary atresia; critical pulmonary stenosis; and tricuspid atresia. Circulatory collapse coincides with the closure of the ductus arteriosus and changes in the pulmonary vascular resistance. Figure 1 shows an example of critical coarctation of the aorta where the systemic circulation is dependent upon a patent ductus arteriosus.


Perinatal management of major congenital heart disease.

McGovern E, Sands AJ - Ulster Med J (2014)

Duct Dependent Coarctation of the Aorta Adapted from: http://www.uwhealth.org/american-family-childrens-hospital/pediatricpathways
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4255832&req=5

fig02: Duct Dependent Coarctation of the Aorta Adapted from: http://www.uwhealth.org/american-family-childrens-hospital/pediatricpathways
Mentions: Infants with a duct dependent systemic or pulmonary circulation and transposition of the great arteries are at risk of rapid demise and death in the first few days to weeks of life. Duct dependent systemic circulations often include the following conditions: HLHS; critical aortic stenosis; coarctation of the aorta; and interrupted aortic arch. Duct dependent pulmonary circulations may include the following conditions: pulmonary atresia; critical pulmonary stenosis; and tricuspid atresia. Circulatory collapse coincides with the closure of the ductus arteriosus and changes in the pulmonary vascular resistance. Figure 1 shows an example of critical coarctation of the aorta where the systemic circulation is dependent upon a patent ductus arteriosus.

Bottom Line: As most cases of major CHD are not identified prenatally, clinical examination of the newborn and pulse oximetry are also important means of identifying more cases.Clinicians must suspect CHD as a diagnosis in a cyanosed or shocked neonate and be familiar with appropriate management, namely the commencement of prostaglandin if a duct dependent cardiac lesion is suspected.Telemedicine can aid prompt diagnosis of CHD and therefore direct appropriate management.

View Article: PubMed Central - PubMed

Affiliation: Paediatric Basic Specialist Trainee, Paediatric Department, Galway University Hospital.

ABSTRACT
Congenital heart disease (CHD) is the most common form of congenital anomaly. Prenatal diagnosis of CHD has been associated with decreased morbidity and mortality for some forms of major CHD. As most cases of major CHD are not identified prenatally, clinical examination of the newborn and pulse oximetry are also important means of identifying more cases. Clinicians must suspect CHD as a diagnosis in a cyanosed or shocked neonate and be familiar with appropriate management, namely the commencement of prostaglandin if a duct dependent cardiac lesion is suspected. Telemedicine can aid prompt diagnosis of CHD and therefore direct appropriate management.

Show MeSH
Related in: MedlinePlus