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In most cases scientists don't know why they occur
Heredity sometimes plays a role in congenital cardiovascular disease
Most heart defects either 1) obstruct blood flow in the heart or vessels near it or 2) cause blood to flow through the heart in an abnormal pattern
Patent ductus arteriosus (P.D.A.)
This defect allows blood to mix between the pulmonary artery and the aorta
If the ductus arteriosus is large, a child may tire quickly, grow slowly, catch pneumonia easily and breathe rapidly
Obstruction defects
The three most common forms
are pulmonary stenosis, aortic stenosis and coarctation of the aorta
Septal defects
two most common types of
Atrial septal defect (A.S.D.)
Ventricular septal defect (V.S.D.)
Eisenmenger's complex is a ventricular septal defect coupled with pulmonary high blood pressure, the passage of blood from the right side of the heart to the left (right to left shunt)
Atrioventricular (A-V) canal defect (also called endocardial cushion defect or atrioventricular septal defect) - A large hole in the center of the heart exists where the wall between the upper chambers joins the wall between the lower chambers
Cyanotic defects
Tetralogy of Fallot has four components. The two major ones are: 1) a large hole, or ventricular septal defect, that lets blood pass from the right to the left ventricle without going through the lungs, and 2) a narrowing (stenosis) (sten-O'sis) at or just beneath the pulmonary valve. This narrowing partially blocks the blood flow from the heart's right side to the lungs. The other two components are: 3) the right ventricle is more muscular than normal, and 4) the aorta lies directly over the ventricular septal defect
Transposition of the great arteries - the positions of the pulmonary artery and the aorta are reversed. The aorta is connected to the right ventricle, so most of the blood returning to the heart from the body is pumped back out without first going to the lungs
Tricuspid atresia - In this condition, there's no tricuspid valve. That means no blood can flow from the right atrium to the right ventricle
Pulmonary atresia - No pulmonary valve exists, so blood can't flow from the right ventricle into the pulmonary artery and on to the lungs
Truncus arteriosus - This is a complex malformation where only one artery arises from the heart and forms the aorta (a-OR'tah) and pulmonary artery. Surgery for this condition usually is required early in life. It includes closing a large ventricular septal defect within the heart, detaching the pulmonary arteries from the large common artery, and connecting the pulmonary arteries to the right ventricle with a tube graft. Children with truncus arteriosus need lifelong follow-up to
Total anomalous pulmonary venous (P-V) connection - The pulmonary veins that bring oxygen-rich (red) blood from the lungs back to the heart aren't connected to the left atrium. Instead, the pulmonary veins drain through abnormal connections to the right atrium
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Congenital Cardiovascular Disease
American Heart Association, 2007
[for Professionals mainly]
Congenital Heart Disease
Charlotte Ferencz, M.D., C.M., M.P.H., Health Sciences & Human Services Library (HS/HSL), University of Maryland, 2007
[for Professionals mainly]
The objective of all public health activities is to lessen the occurrence of disease and to diminish the burden of disease on
patients, their families and their communities. ... CHD is a birth defect that affects the development of the heart and the
major arteries and veins. ... a worthy focus of professional and public attention to all measures that could reduce its occurrence
and prevent its many lifetime adversities. ... Disease Overview ... 'Early' cardiac defects: ... Defects of laterality and looping ...
Defects of the cardiac outflow tract ... Atrioventricular septal defects ... Ventricular septal defects : membranous type ...
Total anomalous pulmonary venous return ...'Late' cardiac defects: ... Ventricular septal defect: muscular type ...
Left-sided obstructive lesions ... Right-sided obstructive lesions ... Atrial septal defects ... Patent arterial duct ...
Ebstein's malformation of the tricuspid valve ... Cardiomyopathies ...
What is a congenital heart defect
International Society for Adult Congenital Cardiac Disease, 2007
[Support Groups]
A least eight of every 1,000 infants born each year have a heart defect. That is almost one percent of live-born infants. Statistics Canada records tell us that 3,970 children with
may result from abnormal chromosomes, as in Down's syndrome
generation to the next, as in Marfan syndrome
includes the mother's use of alcohol, 'street drugs', and a number of prescription drugs such as seizure medications. Avoid unnecessary risks. Consult with your doctor before becoming pregnant ...
Ventricular Septal Defect
Pediatric Cardiology at Ochsner Clinic, August 2007
Ventricular Septal Defects (VSD's) are the most commonly occurring congenital cardiac lesion, accounting for 30% to 50% of all defects. These defects are found in either the membranous (65%), muscular (25%), inlet (5%), or outlet (<5%) portion of the septum. Inlet defects are usually part of an atrioventricular septal defect. The amount of shunting through the defects can be small, moderate, or large … Spontaneous closure … Overall, about one third to one half of VSD's will close spontaneously, and many more will shrink to the point of being clinically insignificant. The majority of muscular defects and about one third of membranous defects close on their own. Tricuspid valve aneurysm formation around the defect is often responsible for membranous defect closure; this does not have a clinically significant effect on valve function …
Ventricular Septal Defect
Pediheart Website
Ventricular septal defects are an abnormal communication at the ventricular level
Young infants present with congestive heart failure and failure to thrive, and constitute the highest risk group
Congenital Heart Defects
Noah, March 6, 2007
More than 25,000 infants (one out of every 1225 to 150) are born with heart defects each year in the United States. The defect may be so slight that the baby appears healthy for many years after birth, or so severe that its life is in immediate danger
Congenital Heart Disease
Texas Heart Institute Heart Information Service, July 2007
Congenital heart problems are those present at birth. They include defects in the valves and chambers and also circulatory problems. About eight of every 1,000 infants are born with one or more heart or circulatory problems, and about half of these cases are serious enough to require treatment
Some conditions that alert a physician to the possibility of congenital heart disease in an infant include: Congenital heart disease in the mother or father
Congenital heart disease in a previous child or other relative
Diabetes in the mother
Rubella (German measles), toxoplasmosis (a protozoal infection transmitted in cat feces), or HIV infection in the mother
the mother's excessive use of alcohol
the mother's use of cocaine or other drugs
the mother's exposure during pregnancy to certain anticonvulsant and dermatologic medications
Children & Heart Disease Information on Heart Defects
American Heart Association, 2007
Congenital heart defect
Useful Internet Addresses.
Congenital Heart Defect Diagrams
Kansas University, 2007
Atrial Septal Defect, Primum
Ebsteins Anomaly
Patent Ductus Arteriosus
Patent Foramen
Pulmonary Valve Stenosis
Tetralogy of Fallot
Congenital Heart Defects
Methodist Health Care System - Houston, Texas.
Congenital Heart Disease Tetralogy of Fallot - ToF
American Heart Association.
Ventricular Septal Defect
I.B.I.S. Birth Defects, February 15, 2002
[for Professionals mainly] [Ukrainian]
Definition ... Etiology ... Pathology ... Clinical picture and diagnosis ... Complications ... Management
Coarctation of Aorta
I.B.I.S. Birth Defects, June 11, 2002
[for Professionals mainly] [Ukrainian]
Anatomy ... Classification ... Etilogy ... Clinical features and diagnosis ... Complications ... Treatment ... Prognosis ... Obstetrical tactics ... OMIM number
Double Vessel Outlet
I.B.I.S. Birth Defects, October 2, 2002
[for Professionals mainly] [Ukrainian]
Diagnostic criteria ... Variants ... Clinical manifestations ... Associated symptoms ... Ways of examination of a patient ... Pathogenesis ... Differential diagnosis ... Treatment ... Prognosis ... Prevention ... OMIM number
Truncus Arteriosus Communis
I.B.I.S. Birth Defects, February 11, 2003
[for Professionals mainly] [Ukrainian]
Definition ... Inclusions ... Exclusions ... Etiology ... Embryogenesis ... Anatomical pathology ... Hemodynamics ... Clinical features ... Diagnosis ... Associated anomalies ... Differential diagnosis ... Treatment ... Prevention ... OMIM number
Congenital Heart Defects
I.B.I.S. Birth Defects, February 5, 2002
[for Families] [Ukrainian]
Defectos congenitos del corazon
Noah, October 31, 2006
[Spanish]
Mas de 25,000 lactantes (uno do cada 125-150) nacen con defectos del corazon cada ano en los Estados Unidos. El defecto puede ser tan leve que el bebe parece sano durante muchos anos despues del nacimiento, o tan severo que su vida esta en peligro inmediato
Defectos Cardiacos Congenitos de los Ninos
American Heart Association, 2007
[Spanish]
Coartacion de la Aorta
Comunicacion Interauricular (Defecto el Tabique Interauricular)
Estenosis Aortica
Estenosis Pulmonar
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Last Updated: 2007/12/21
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