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Surgery 2 - Third Year BHMS

Contents

Surgery 2 - Third Year BHMS

Contents

CoursesBHMSSurgery 2 - Third Year BHMSCONGENITAL CARDIAC ANOMALIES ASD, VSD, PDA,

CONGENITAL CARDIAC ANOMALIES ASD, VSD, PDA,

Content

Congenital Cardiac Anomalies

Atrial Septal Defect (ASD)

  • Definition: Atrial septal defect (ASD) is a congenital heart defect that occurs when there is an abnormal opening in the atrial septum, which is the wall of tissue that separates the right and left atria.
  • Types: Partial ASD, Complete ASD, Sinus venosus ASD, Secundum ASD
  • Causes: Genetic factors, chromosomal abnormalities
  • Clinical Features: Chest pain, shortness of breath, fatigue, palpitations
  • Investigations: Echocardiogram, Chest X-ray, Electrocardiogram
  • Complications: Heart failure, arrhythmias, pulmonary hypertension
  • Management: Surgical repair, catheter-based closure, monitoring for complications

Ventricular Septal Defect (VSD)

  • Definition: Ventricular septal defect (VSD) is a congenital heart defect that occurs when there is an abnormal opening in the ventricular septum, which is the wall of tissue that separates the right and left ventricles.
  • Types: Perforation, Infundibular VSD, Muscular VSD, Atrioventricular canal defect
  • Causes: Genetic factors, chromosomal abnormalities
  • Clinical Features: Coughing, difficulty breathing, cyanosis, failure to thrive
  • Investigations: Echocardiogram, Chest X-ray, Electrocardiogram
  • Complications: Heart failure, infective endocarditis, pulmonary hypertension
  • Management: Surgical repair, catheter-based closure, monitoring for complications

Patent Ductus Arteriosus (PDA)

  • Definition: Patent ductus arteriosus (PDA) is a congenital heart defect that occurs when the ductus arteriosus, a blood vessel that connects the aorta to the pulmonary artery, fails to close after birth.
  • Types: Small PDA, Large PDA
  • Causes: Genetic factors, chromosomal abnormalities
  • Clinical Features: Difficulty breathing, coughing, failure to thrive
  • Investigations: Echocardiogram, Chest X-ray, Electrocardiogram
  • Complications: Heart failure, pulmonary hypertension, infective endocarditis
  • Management: Surgical ligation, catheter-based closure, monitoring for complications

Coarctation of the Aorta

  • Definition: Coarctation of the aorta is a congenital heart defect that occurs when there is a narrowing of the aorta, the major artery that carries blood from the heart to the rest of the body.
  • Types: Preductal coarctation, Postductal coarctation
  • Causes: Genetic factors, chromosomal abnormalities
  • Clinical Features: Hypertension, fatigue, shortness of breath, palpitations
  • Investigations: Echocardiogram, Chest X-ray, Electrocardiogram
  • Complications: Heart failure, arrhythmias, aortic aneurysm
  • Management: Surgical repair, catheter-based angioplasty, monitoring for complications

Tetralogy of Fallot (TOF)

  • Definition: Tetralogy of Fallot (TOF) is a congenital heart defect that occurs when there are four abnormal heart structures: ventricular septal defect, pulmonary stenosis, right ventricular hypertrophy, and an overriding aorta.
  • Types: Classic TOF, Variant TOF
  • Causes: Genetic factors, chromosomal abnormalities
  • Clinical Features: Cyanosis, difficulty breathing, fatigue, palpitations
  • Investigations: Echocardiogram, Chest X-ray, Electrocardiogram
  • Complications: Heart failure, arrhythmias, pulmonary hypertension
  • Management: Surgical repair, catheter-based closure, monitoring for complications

Complications

  • Heart failure
  • Arrhythmias
  • Pulmonary hypertension
  • Infective endocarditis
  • Aortic aneurysm

Diagnosis

  • Echocardiogram
  • Chest X-ray
  • Electrocardiogram
  • Cardiac catheterization

Treatment

  • Surgical repair
  • Catheter-based closure
  • Monitoring for complications

Homeopathic Medicines

  • Aconitum: For sudden onset of chest pain and shortness of breath
  • Ignatia: For anxiety and palpitations
  • Phosphorus: For fatigue and weakness
  • Aurum: For arrhythmias and palpitations