congenital cardiovascular anomalies
Congenital
cardiovascular anomalies • Ebstein anomaly - Ganzer Fall bei Radiopaedia
Congenital
cardiovascular anomalies • Ventricular septal defect - Ganzer Fall bei Radiopaedia
Pulmonary
plethora • Atrioventricular septal defect - Ganzer Fall bei Radiopaedia
Tetralogy of
Fallot • Tetralogy of Fallot - Ganzer Fall bei Radiopaedia
Atrial septal
defect • Atrial septal defect - Ganzer Fall bei Radiopaedia
Transposition
of the great arteries • Transposition of great arteries (TGA) - Ganzer Fall bei Radiopaedia
Cyanotic
congenital heart disease • Total anomalous pulmonary venous return (TAPVR) - Ganzer Fall bei Radiopaedia
Congenital
cardiovascular anomalies • Ebstein's anomaly - antenatal ultrasound - Ganzer Fall bei Radiopaedia
Tetralogy of
Fallot • Tetralogy of Fallot (diagram) - Ganzer Fall bei Radiopaedia
Congenital cardiovascular anomalies are relatively common, with an incidence of up to 1% if small muscular VSDs are included. As a group, there is a much greater frequency in syndromic infants and in those that are stillborn.
Clinical presentation
Broadly, congenital cardiovascular anomalies can be clinically divided into:
Depending on the lesion and its severity, patients may be asymptomatic or conversely, may present with rapidly deteriorating congestive cardiac failure.
Pathology
These defects as a group have a heterogeneous etiology with many resulting from an interplay between both genetic and environmental factors.
Subtypes
A list of anomalies and their approximate occurrences (as a percentage of all congenital cardiac disease) are given below:
- ventricular septal defect (VSD): 40%
- atrial septal defect (ASD): 10%
- congenital pulmonary stenosis: 8%
- patent ductus arteriosus (PDA): 7%
- transposition of the great arteries (TGA): 7%
- tetralogy of Fallot (TOF): 5%
- coarctation of the aorta: 5%
- atrioventricular septal defect (AVSD): 4%
- congenital aortic stenosis: 4%
- hypoplastic left heart syndrome (HLHS): 4%
- double outlet right ventricle (DORV): 2%
- interrupted aortic arch (IAA): 1.5%
- truncus arteriosus: 1%
- total anomalous pulmonary venous return (TAPVR): 1%
- tricuspid atresia: 1%
- pulmonary atresia:
- Ebstein anomaly: 0.7%
- Bland-White-Garland syndrome: ~0.5%
- cor triatriatum: ~0.1%
- partial anomalous pulmonary venous return (PAPVR): 0.5%
- double outlet left ventricle (DOLV)
- aortopulmonary septal defect: <1%
- Gerbode defect: <1%
- Shone complex: <1%
- hypoplastic right heart syndrome (HRHS)
- aortoventricular tunnel <0.1%
Other valvular anomalies
Percentages may not necessarily add up to 100 due to overlap and simultaneous occurrence of abnormalities.
Associations
Congenital cardiac anomalies can be found with many aneuploid conditions which include:
- trisomy 18: up to 90% can have cardiac anomalies
- trisomy 13: up to 90%
- trisomy 21: up to 50%
- Turner syndrome: up to 40%
Siehe auch:
- Chiari-Netz
- truncus arteriosus
- Persistierender Ductus arteriosus
- Aortenisthmusstenose
- Ebstein anomaly
- Atriumseptumdefekt
- Pätau-Syndrom
- Down-Syndrom
- Turner-Syndrom
- Cor triatriatum
- tricuspid atresia
- Trisomie 18
- quadricuspid aortic valve
- congenital pulmonary stenosis
- Fallot'sche Tetralogie
- ventricular septal defect (VSD)
- congenital aortic stenosis
- Fehlbildungen der Koronararterien
- Varianten der Herzanatomie
- Bikuspidalität der Aortenklappe
- conotruncal cardiac anomalies
- Bland-White-Garland-Syndrom
- Single Ventricle
- Transposition der großen Arterien
- atrioventricular septal defect (AVSD)
- double outlet right ventricle (DORV)
- Divertikel des linken Vorhofs
- interrupted aortic arch (IAA)
- Pulmonalatresie
- hypoplastic left heart syndrome (HLHS)
- Valvula Eustachii
- congenital heart disease : CXR approach
- partielle Lungenvenenfehlmündung
- totale Lungenvenenfehlmündung
- fibromuskuläres Band im linken Vorhof
- Normale Herzkonfiguration im Röntgen-Thorax
und weiter:
- Ektasie Aorta ascendens
- einseitig vermehrte Transparenz Thorax
- Situs inversus
- Hydrops fetalis
- Chylothorax
- obstetric curriculum
- Lungensequester
- Ösophagusatresie
- Herzfehler
- Ellis-van-Creveld-Syndrom
- rechts descendierende Aorta
- mandibuläre Retrognathie
- nuchal translucency
- acute respiratory distress syndrome (ARDS)
- Mikrognathie
- Kardiomegalie
- fetal pleural effusion
- Situs ambiguus
- acyanotic congenital heart disease
- Diastrophische Dysplasie
- CHARGE-Syndrom
- Abernethy malformation
- fetal conditions associated with maternal diabetes
- Fetales Valproat-Syndrom
- nuchal thickness
- Surfactant-Mangelsyndrom
- Herz Anatomie
- polysplenia
- Embryopathia rubeolosa
- Goldenhar-Gorlin-Syndrom
- congenital hydrocephalus
- umbilical vein varix
- Cornelia-de-Lange-Syndrom
- fetal complete atrioventricular block
- CXR approach to congenital heart disease
- Fryns-Syndrom
- Kabuki-Syndrom
- camptomelic dysplasia
- fetal tachyarrhythmia
- chest x-ray appeoach to congenital heart disease
- Lungensequester extralobulär
- abnormal ductus venosus waveforms
- congenital heart disease - chest x-ray approach
- ectopia cordis
- Golfballphänomen
- hydrolethalus
- caudal dysplasia sequence
- dilantin embryopathy
- Rubinstein-Taybi-Syndrom
- endocardial cushion defect
- mesoectodermal dysplasia
- fetal bradyarrhythmia
- McKusick-Kaufman-Syndrom
- Miller-Dieker lissencephaly syndrome
- anomalous left coronary artery off the pulmonary artery
- congenital vascular anomalies
- iron deficiency anaemia
- absent ductus venosus
- camptomelic dwarfism
- fetal premature atrial contractions
- four chamber cardiac view
- verzögerte Skelettreifung
- transient tachypnea of newborn
- cyanotic congenital cardiac anomaly
- lentiginosis profusa syndrome
- fetal nuchal oedema
- retained foetal fluid
- epikardiale Schrittmachersonden
- Thrombozytopenie-Radiusaplasie-Syndrom
- Zyanotischer Herzfehler
- Valvula thebesii
- Membran im linken Vorhof
- Zephalozele
- kongenitale pulmonale Atemwegsmalformation (CPAM)
- double chamber right ventricle (DCRV)
