Cardiology

Left Right Shunt

ASD i) Ostium primum Fixed wide ECG IE prophylax
ii) Ostium splitting of S2
secundum ECHO
iii) Sinus venosus Ejection systolic
murmur at the
upper left
sternal edge
VSD Small shunt

Large shunt
PDA Spontaneous
3 - 5 days

Medical closu
- Indometha
- Ibuprofen

Surgical closu

IE prophylax
Right Left Shunt
TOF Infundibular Ejection systolic Blalock-Taus
stenosis murmur at the shunt
upper left
Ventricular septal sternal edge Corrective op
defect heart surger

Right ventricular Tet spells

hypertrophy
IE propylaxis
TGA Balloon atrial
septostomy
(Rashkind
 procedure)

Corrective ar
switch opera
TAPVD
Truncus
arteriosus
Tricuspid atresia