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Symptoms and Signs in the Neonate (SYMPTOM/SIGN (Cyanosis with respiratory…
Symptoms and Signs in the Neonate
SYMPTOM/SIGN
Cyanosis with respiratory
distress
PHYSIOLOGIC CATEGORY
Increased pulmonary blood flow
ANATOMIC CAUSE
Transposition
LESION
d-Transposition with or without
associated lesions
SYMPTOM/SIGN
Respiratory distress with
desaturation (not visible
cyanosis)
PHYSIOLOGIC CATEGORY
Bidirectional shunting
ANATOMIC CAUSE
Complete mixing
LESION
Truncus arteriosus AV canal
Complex single ventricle (including heterotaxias)
without pulmonary stenosis
SYMPTOM/SIGN
Respiratory distress with normal
saturation
PHYSIOLOGIC CATEGORY
Left-to-right shunting
ANATOMIC CAUSE
Simple intracardiac shunt
LESION
(ASD) Atrial septal defect
Aortopulmonary window
(AVM) arteriovenous malformation
(PDA) patent ductus arteriosus
(VSD) ventricular septal defect
SYMPTOM/SIGN
Hypoperfusion
PHYSIOLOGIC CATEGORY
Poor cardiac output
ANATOMIC CAUSE
Left heart obstruction
LESION
Total anomalous pulmonary venous
return with obstruction
Aortic stenosis
Hypoplastic left heart syndrome
Poor cardiac function
ANATOMIC CAUSE
Normal anatomy
LESION
Cardiomyopathy
Myocarditis
SYMPTOM/SIGN
Cyanosis without respiratory
distress
PHYSIOLOGIC CATEGORY
Decreased pulmonary blood flow
ANATOMIC CAUSE
Right heart obstruction
LESION
Tricuspid atresia
Ebstein anomaly
Pulmonary atresia
Pulmonary stenosis
Tetralogy of Fallot