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Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

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Nội dung chi tiết: Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

Chapter 6Congenital heart disease with a right-to-left shunt in childrenAdmixture lesions187Complete transposition of the great arteries (d-TGA or d-T

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2TGV)188Total anomalous pulmonary venous connection (TAPVC or TAPVR)196Common arterial trunk (truncus arteriosus)204Cyanosis and diminished pulmonary b

lood flow209Tetralogy of Fallot209Tetralogy "variants"219Tricuspid atresia219Pulmonary atresia with intact ventricular septum225Ebstein's malformation Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

ol the tricuspid valve228In most patients with cyanosis related to congenital cardiac abnormalities, an abnormality permits a portion of the systemic

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

venous return to bypass the lungs and enter the systemic circulation directly. Therefore, this creates a right-to-left shunt and results from two gen

Chapter 6Congenital heart disease with a right-to-left shunt in childrenAdmixture lesions187Complete transposition of the great arteries (d-TGA or d-T

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2truction to pulmonary blood flow. The first group shows increased pulmonary vascularity, but the second shows diminished pulmonary vascularity. Theref

ore, the most common conditions resulting in cyanosis are divided between these two categories (Table 6.1).Regardless of the type of cardiac malformat Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

ion leading to cyanosis, a risk of polycythemia, clubbing, slow growth, and brain abscess exists. The first three findings related to tissue hypoxia h

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

ave been discussed previously. Brain abscess results from the direct access of bacteria to the systemic circuit from the right-to-left shunt of venous

Chapter 6Congenital heart disease with a right-to-left shunt in childrenAdmixture lesions187Complete transposition of the great arteries (d-TGA or d-T

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2staglandinPediatric Cardiology: The Essential Pocket Guide, Third Edition.Walter H. Johnson, Jr. and James H. Moller.© 2014 John Wiley & Sons, Ltd. Pu

blished 2014 by John Wiley & Sons, Ltd.1866 Congenital heart disease with a right-to-left shunt in children 187Table 6.1 Physiologic Classification of Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

Cyanotic Malformations.Admixture lesions (increased pulmonary vascularity):Complete transposition of the great arteriesTotal anomalous pulmonary veno

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

us connectionPersistent truncus arteriosusObstruction to pulmonary blood flow and an intracardiac defect (decreased pulmonaryvascularity):Tetralogy ol

Chapter 6Congenital heart disease with a right-to-left shunt in childrenAdmixture lesions187Complete transposition of the great arteries (d-TGA or d-T

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2can be transferred to a center or stabilized in the center in preparation for an operation.Early recognition, careful stabilization and timely operati

on are the keys to an excellent outcome.ADMIXTURE LESIONSThe combination of cyanosis and increased pulmonary blood flow indicates an admixture lesion. Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

In most cardiac malformations classified in this group, a single cardiac chamber receives the entire systemic and pulmonary venous blood flows as the

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

y return to the heart. These two blood flows mix and then the mixture leaves the heart into both the aorta and pulmonary artery. The admixture of bloo

Chapter 6Congenital heart disease with a right-to-left shunt in childrenAdmixture lesions187Complete transposition of the great arteries (d-TGA or d-T

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2tricle), or great vessel (e.g. persistent truncus arteriosus).Near-uniform mixing of the two venous returns occurs. Complete transposition of the grea

t arteries is included in the admixture group because the patients are cyanotic with increased pulmonary blood flow. They have, however, only partial Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

admixture of the two venous returns; this incomplete mixing leads to symptoms of severe hypoxia.The hemodynamics of the admixture lesions resemble tho

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2

se of the left-to-right shunts that occur at the same level. The direction and magnitude of blood flow in total anomalous pulmonary venous connection

Chapter 6Congenital heart disease with a right-to-left shunt in childrenAdmixture lesions187Complete transposition of the great arteries (d-TGA or d-T

Ebook Pediatric cardiology - The essential pocket guide (3rd edition): Part 2monary flow

Chapter 6Congenital heart disease with a right-to-left shunt in childrenAdmixture lesions187Complete transposition of the great arteries (d-TGA or d-T

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