C. Fetal Echo Physiology

  1. How many tricuspid atresia fall into the type 2 category?
    28%
  2. What is tricuspid atresia type 2’s relationship with the great arteries?
    D-transposition of great arteries
  3. What 3 things can happen w/type 2 tricuspid atresia?
    • * -Pulmonary atresia with VSD
    • * -Pulmonary stenosis with VSD
    • * -just a VSD
    • “PPV”
  4. How many tricuspid atresia is type 3?
    3%
  5. What is tricuspid atresia type 3’s relationship with the great arteries?
    L-transposition of great arteries
  6. What can happen w/type 3 tricuspid atresia?
    • * -sub pulmonary stenosis with VSD
    • * -Sub aortic stenosis with VSD
  7. With Tricuspid atresia where is the pulmonary artery in relation to the aorta?
    Anterior and to the left

  8. Which 4 things will cause an enlarged right atrium?
    • * 1. Uhl anomaly
    • * 2. Tricuspid insufficiency
    • * 3. Tricuspid atresia
    • * 4. Tricuspid Stenosis
  9. Which anomaly will cause an enlarged right atrium plus an apically displaced tricuspid valve?
    Ebstein anomaly
  10. What is UHL Anomaly?
    A total absence of right ventricular myocardium resulting in apposition (things being side by side) of the endocardium & epicardium.
  11. What is the most common great artery relationship in tricuspid valve atresia?
    Type 1, normally related great arteries
  12. 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
  13. What is the risk of a heart defect in cases of situs inversus with extreme Levocardia?
    Nearly 100%
  14. 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%
  15. What is the risk for a heart defect if the fetal situs is situs solitus?
    1%
  16. What is situs solitus?
    Normal body configuration
  17. When the fetal heart is in the right thorax & the abdominal organs are not arranged properly, what is the name of this?
    Situs ambigus
  18. 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”
  19. What is Ectopia Cordis?
    * -complete or partial displacement of the heart outside the thoracic cavity.
  20. What 3 things are associated with extreme Levocardia?
    • * 1. Tetralogy of Fallout
    • * 2. Ebstein anomaly
    • * 3. Truncus arteriosus
  21. What is situs ambiguous also known as?
    Heterotaxy
  22. 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
  23. What is the most common congenital heart defect other than bicuspid aortic valve?
    Ventricular septal defect (VSD)
  24. Atrial septal defect‘s constitute what percentage of all congenital heart defect‘s?
    6.7%
  25. Of all newborns with a congenital heart defect, what percentage of them have an aortic stenosis?
    3-6%
  26. What is a ostium secundum atrial septal defect caused by?
    Excessive reabsorption of the septum primum 

  27. Which cardiac lesion has a hemodynamic communication between the right and left ventricles?
    Ventricular septal defect (VSD)

  28. What is the most commonly recognized cardiac defect? What is the most common cardiac defect (not necessarily recognized)?
    • * -VSD
    • * -bicuspid aortic valve defect
  29. In tetralogy of fallot what is the most common location of a ventricular septal defect?
    Subaortic
  30. What is the most common type of atrial septal defect?
    Ostium secundum
  31. 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
  32. Which anomaly accounts for approximately 30 to 50% of all congenital heart defects?
    Ventricular septal defect (VSD)
  33. What type of interrupted aortic arch is commonly associated with a ventricular septal defect (VSD)?
    Type B
  34. What is the most severe form of coarctation of the aorta?
    Interrupted aortic arch
Author
kirbykat
ID
355797
Card Set
C. Fetal Echo Physiology
Description
Updated