Peds H- Heart Failure and Congenital Heart Disorders

Summary: <br> Common Chief Complaints<br> <br> <br> <br> * Cyanosis* Difficulty feeding* Failure to thrive<br> <br> <br> <br> Cyanotic Heart Lesions<br> <br> <br> <br> * 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<br> <br> <br> <br> Ductal Dependent Lesions<br> <br> <br> <br> * Classically presents in first 30 days of life* Treatment = Prostaglandins* Common lesions* Hypoplastic left heart* Aortic stenosis* Coarctation of the aorta<br> <br> <br> <br> Congestive Heart Failure<br> <br> <br> <br> * Common Presentation* Difficulty feeding* Organomegaly* Cardiomegaly on CXR* Treatment* Furosemide* Vasopressors* Admit<br> <br> <br> <br> Additional Reading<br> <br> <br> <br> * Congenital Heart Disease Emergencies <a href="https://emergencymedicinecases.com/congenital-heart-disease-emergencies-2/">(EM Cases)</a>* Ductal Dependent Congenital Heart Defects <a href="https://codehealth.io/library/article-119/ductal-dependent-congenital-heart-defects/">(CodeHealth)</a><br>