Congenital heart defect: Difference between revisions

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===Septal defects===
===Septal defects===
The septum is a wall of tissue which separates the [[left heart]] from the [[right heart]].  It is comparatively common for defects to exist in the [[interatrial septum]] or the [[interventricular septum]], allowing blood to flow from the left side of the heart to the right, reducing the heart's efficiency.  [[Ventricular septal defect]]s are collectively the most common type of CHD, although approximately 30% of adults have a type of [[atrial septal defect]] called [[patent foramen ovale]].  Septal defects may or may not cause [[cyanosis]] depending on the severity of the defect.
The septum is a wall of tissue which separates the [[left heart]] from the [[right heart]].  It is comparatively common for defects to exist in the [[interatrial septum]] or the [[interventricular septum]], allowing blood to flow from the left side of the heart to the right, reducing the heart's efficiency.  [[Ventricular septal defect]]s are collectively the most common type of CHD, although approximately 30% of adults have a type of [[atrial septal defect]] called [[patent foramen ovale]].  Septal defects may or may not cause [[cyanosis]] depending on the severity of the defect.
===Cyanotic defects===
[[Cyanotic heart defect]]s are called such because they result in [[cyanosis]], a bluish-grey discoloration of the skin due to a lack of [[oxygen]] in the body.  Such defects include [[persistent truncus arteriosus]], [[total anomalous pulmonary venous connection]], [[tetralogy of Fallot]], [[transposition of the great vessels]], and [[tricuspid atresia]].


==References==
==References==

Revision as of 18:25, 4 January 2013

Congenital heart defect
Subvalvular Ventricular Septal Defect: Gross, good view of defect with overriding aorta.
Image courtesy of Professor Peter Anderson DVM PhD and published with permission © PEIR, University of Alabama at Birmingham, Department of Pathology

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Associate Editor-in-Chief: Keri Shafer, M.D. [2]

Overview

Major categories

Patent ductus arteriosus

The ductus arteriosus is a temporary pathway in the foetal heart between the pulmonary artery and aorta, which allows blood to bypass the fetus's nonfunctioning lungs until birth. Normally, the ductus closes within a few hours or days of birth; when it does not, the result is patent ductus arteriosus. This defect is common in premature infants but rare in full-term infants.

Hypoplasia

Hypoplasia can affect the heart, which typically results in the failure of either the right ventricle or the left ventricle to develop adequately, leaving only one side of the heart capable of pumping blood to the body and lungs. Hypoplasia of the heart is rare but is the most serious form of CHD; it is called hypoplastic left heart syndrome when it affects the left side of the heart and hypoplastic right heart syndrome when it affects the right side of the heart. In both conditions, the presence of a patent ductus arteriosus (and, when hypoplasia affects the right side of the heart, a patent foramen ovale) is vital to the infant's ability to survive until emergency heart surgery can be performed, since without these pathways blood cannot circulate to the body (or lungs, depending on which side of the heart is defective). Hypoplasia of the heart is generally a cyanotic heart defect.

Obstruction defects

Obstruction defects occur when heart valves, arteries, or veins are abnormally narrow or blocked. Common obstruction defects include pulmonary valve stenosis, aortic valve stenosis, and coarctation of the aorta, with other types such as bicuspid aortic valve stenosis and subaortic stenosis being comparatively rare. Any narrowing or blockage can cause heart enlargement or hypertension.

Septal defects

The septum is a wall of tissue which separates the left heart from the right heart. It is comparatively common for defects to exist in the interatrial septum or the interventricular septum, allowing blood to flow from the left side of the heart to the right, reducing the heart's efficiency. Ventricular septal defects are collectively the most common type of CHD, although approximately 30% of adults have a type of atrial septal defect called patent foramen ovale. Septal defects may or may not cause cyanosis depending on the severity of the defect.

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