Peds H- Heart Failure and Congenital Heart Disorders

Common Chief Complaints











* Cyanosis* Difficulty feeding* Failure to thrive











Cyanotic Heart Lesions











* Truncus arteriosus* Aorta and pulmonary artery are fused* Single vessel comes from both ventricles* Transposition of great vessels* Aorta comes off RIGHT ventricle* Pulmonary artery comes off LEFT ventricle* Tricuspid atresia* Blood unable to get from right atrium to right ventricle* Tetrology of fallot* Overriding aorta* Ventricular septal defect* Right ventricular outflow tract obstruction* Hypertrophy of right ventricle* Total anomalous pulmonary venous return* Pulmonary vein empties into the right ventricle











Ductal Dependent Lesions











* Classically presents in first 30 days of life* Treatment = Prostaglandins* Common lesions* Hypoplastic left heart* Aortic stenosis* Coarctation of the aorta











Congestive Heart Failure











* Common Presentation* Difficulty feeding* Organomegaly* Cardiomegaly on CXR* Treatment* Furosemide* Vasopressors* Admit











Additional Reading











* Congenital Heart Disease Emergencies (EM Cases)* Ductal Dependent Congenital Heart Defects (CodeHealth)