Diagnosis of Congenital Heart Disease

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Post Graduate Lecture

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Presentation Transcript

Slide 6: 

LR Shunt

Slide 7: 

ASD

Slide 19: 

VSD

Slide 22: 

PDA

Slide 27: 

Acyanotic obstructive

Slide 28: 

AS

Functionally Normal BAV : 

Functionally Normal BAV A: Short-axis echocardiogram of a functionally normal bicuspid aortic valve in a 13-year-old boy. B, Necropsy specimen from a patient with severe bicuspid aortic stenos

Slide 33: 

PS

Slide 36: 

COA

Better Developed Upper Extremities in Coarctation : 

Better Developed Upper Extremities in Coarctation

Chest X-Ray in Coarctation : 

Chest X-Ray in Coarctation A, Note absence of aortic knob; this radiographic sign is seen in about 50 percent of patients with coarctation. 2. Notching of lower surface of ribs four through eight in a patient with aortic coarctation.

Barium Swallow in Coarctation : 

Barium Swallow in Coarctation A, showing "E" or "reversed 3" sign. The upper arrow indicates pressure on the esophagus by either a dilated left subclavian artery or prestenotic dilatation of the aorta. The lower arrow indicates pressure on the esophagus by poststenotic dilatation of the aorta.

TOF : 

TOF

ECHo in TOF : 

ECHo in TOF

Trans-thoracic ECHO in TOF : 

Trans-thoracic ECHO in TOF

Slide 49: 

Pulmonay Atresia

Pulmonary Artesia : 

Pulmonary Artesia Pulmonary Atresia with intact interventricular septum With a competent Tricuspid valve the RV is diminutive Significant TR is associated with anormal or large RV cavity

Pulmonary Artesia : 

Pulmonary Artesia Pulmonary Atresia with intact interventricular septum With a competent Tricuspid valve the RV is diminutive Significant TR is associated with anormal or large RV cavity

Slide 52: 

Ebsteins Anomaly

ECG in Ebstein’s Anomaly : 

ECG in Ebstein’s Anomaly Electrocardiogram typical of Ebstein anomaly. Accessory pathway exemplified by the short PR interval, delta wave, and wide QRS complex. Note the peaked P wave in V2 representing right atrial overload.

ECHO in Ebstein’s Anomaly : 

ECHO in Ebstein’s Anomaly Ebstein anomaly on two-dimensional echocardiogram (four-chamber view). A: The septal attachment of the tricuspid valve (arrow) is displaced toward the apex. Note the massive right atrial dilatation B, Again, the septal attachment of the tricuspid valve (arrow) is displaced toward the apex, causing massive dilatation of the right atrium.

Necropsy specimen in Ebstein’s Anomaly : 

Necropsy specimen in Ebstein’s Anomaly

Slide 56: 

TGA Physiology

ECG in Complete TGA : 

ECG in Complete TGA Electrocardiogram of a patient with complete transposition of the great arteries after an atrial switch procedure. Note the atrial flutter at 200 beats/min, The right ventricular hypertrophy, and The right-axis deviation. There is an incidental ventricular premature beat.

CCTGA : 

CCTGA

TGA Correction : 

TGA Correction

RSOV : 

RSOV

TAPVC : 

TAPVC

ALCAPA : 

ALCAPA

ECG in ALCAPA : 

ECG in ALCAPA

Slide 67: 

Eisenmenger Syndrome

SUMMARY : 

SUMMARY

Necropsy (when dead) in VSD : 

Necropsy (when dead) in VSD Tiny membranous VSD Nonrestrictive perimembranous VSD