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2.1 CONGENITAL HEART DISEASE - ASD AND VSD - Coggle Diagram
2.1 CONGENITAL HEART DISEASE - ASD AND VSD
ASD
- Hole in septum between atrium
Type
Sinus venous
Near SVC and IVC
Rare
Occur w/ other CHD
Osticum secunum
mid septum (Fossa Ovalis)
common
Ostinum primum (AV defect)
Lower part AS
occur w/ othr chd
Pathophysiology
Left to right shunt
Cause chronic right side cavities overly
Enlargement RSH and dilatation PA
Pulmonary hypertension and RSHF occur
Murmur
CM
No large, no symptom
Heart murmur
Arrhythmia
dyspnea when exercise
IX
during pregnant
Ultrasound
after birth
Echocardiogram
CXR
ECG
MX
Factor treatment
Size
Severity
Presence of othr cond
small, no req
big use device closure
Cardiac catherization
Open heart surgery
Menggunakan sistem Amplatzer Septal Occluder (ASO)
Complication
Stroke
Pulmonary hypertension
Arrythmia
RSHF
VSD
- Hole tht separate 2 lower chamber of heart
Types
Perimembranous - common
Muscular
Inlet
Outlet
Pathophysiology
LV blood go to RV and Lung
Heart and lung work hard to pump blood
CM
Dyspnea
tired whn feed
Tachycardia
Murmur
IX
Same as ASD
Cardiomegaly
Ventricular hypertrophy
MX
Medication
ACE Inhibitor
Diuretic
Surgery
same as asd
cardiopulmonary bypass machine
i) Synthetic patch – guna menutup VSD secara pembedahan
complication
same as asd