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C. Fetal Echo Physiology
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How many tricuspid atresia fall into the type 2 category?
28%
What is tricuspid atresia type 2’s relationship with the great arteries?
D-transposition of great arteries
What 3 things can happen w/type 2 tricuspid atresia?
* -Pulmonary atresia with VSD
* -Pulmonary stenosis with VSD
* -just a VSD
“PPV”
How many tricuspid atresia is type 3?
3%
What is tricuspid atresia type 3’s relationship with the great arteries?
L-transposition of great arteries
What can happen w/type 3 tricuspid atresia?
* -sub pulmonary stenosis with VSD
* -Sub aortic stenosis with VSD
With Tricuspid atresia where is the pulmonary artery in relation to the aorta?
Anterior and to the left
Which 4 things will cause an enlarged right atrium?
* 1. Uhl anomaly
* 2. Tricuspid insufficiency
* 3. Tricuspid atresia
* 4. Tricuspid Stenosis
Which anomaly will cause an enlarged right atrium plus an apically displaced tricuspid valve?
Ebstein anomaly
What is UHL Anomaly?
A total absence of right ventricular myocardium resulting in apposition (things being side by side) of the endocardium & epicardium.
What is the most common great artery relationship in tricuspid valve atresia?
Type 1, normally related great arteries
In Epstein anomaly which leaflet has a sail-like (or stretched) appearance? Why?
* -Anterior leaflet of the tricuspid valve
* -b/c of the insufficiency of the tricuspid valve
What is the risk of a heart defect in cases of situs inversus with extreme Levocardia?
Nearly 100%
If the fetal ABD organs are properly arranged but fetal heart is positioned in right chest what is the risk that the fetus has a heart defect?
95%
What is the risk for a heart defect if the fetal situs is situs solitus?
1%
What is situs solitus?
Normal body configuration
When the fetal heart is in the right thorax & the abdominal organs are not arranged properly, what is the name of this?
Situs ambigus
What 3 malformations is ectopia cordia associated with?
* 1. Limb body wall complex
* 2. Amniotic band syndrome
* 3. Pentalogy of Cantrell
LAP…”bc the heart ends up in the lap w/ectopia cordia”
What is Ectopia Cordis?
* -complete or partial displacement of the heart outside the thoracic cavity.
What 3 things are associated with extreme Levocardia?
* 1. Tetralogy of Fallout
* 2. Ebstein anomaly
* 3. Truncus arteriosus
What is situs ambiguous also known as?
Heterotaxy
What 4 things causes an abnormal heart position in the fetal chest?
* 1. Congenital pulmonary airway
malformation (CPAM)
* 2. Congenital diaphragmatic hernia
* 3. Bronchopulmonary sequestration
* 4. Plural effusion
What is the most common congenital heart defect other than bicuspid aortic valve?
Ventricular septal defect (VSD)
Atrial septal defect‘s constitute what percentage of all congenital heart defect‘s?
6.7%
Of all newborns with a congenital heart defect, what percentage of them have an aortic stenosis?
3-6%
What is a ostium secundum atrial septal defect caused by?
Excessive reabsorption of the septum primum
Which cardiac lesion has a hemodynamic communication between the right and left ventricles?
Ventricular septal defect (VSD)
What is the most commonly recognized cardiac defect? What is the most common cardiac defect (not necessarily recognized)?
* -VSD
* -bicuspid aortic valve defect
In tetralogy of fallot what is the most common location of a ventricular septal defect?
Subaortic
What is the most common type of atrial septal defect?
Ostium secundum
What type of atrial septal defect generally occurs as part of a more complex type of congenital heart defect such as in atrioventricular canal defect?
Ostium primum
Which anomaly accounts for approximately 30 to 50% of all congenital heart defects?
Ventricular septal defect (VSD)
What type of interrupted aortic arch is commonly associated with a ventricular septal defect (VSD)?
Type B
What is the most severe form of coarctation of the aorta?
Interrupted aortic arch
Author
kirbykat
ID
355797
Card Set
C. Fetal Echo Physiology
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Updated
2021-07-24T22:58:09Z
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