congenital heart disease
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:
- Persistierender Ductus arteriosus
- Aortenisthmusstenose
- Normvarianten Koronararterien
- Chiari-Netz
- Atriumseptumdefekt
- Down-Syndrom
- Pätau-Syndrom
- Turner-Syndrom
- Fallot'sche Tetralogie
- Cor triatriatum
- Ebstein anomaly
- Trisomie 18
- Varianten der Herzanatomie
- Transposition der großen Arterien
- Bland-White-Garland-Syndrom
- Normale Herzkonfiguration im Röntgen-Thorax
- tricuspid atresia
- double outlet right ventricle (DORV)
- hypoplastic left heart syndrome
- Bikuspidalität der Aortenklappe
- quadricuspid aortic valve
- totale Lungenvenenfehlmündung
- partielle Lungenvenenfehlmündung
- atrioventricular septal defect (AVSD)
- Divertikel des linken Vorhofs
- conotruncal cardiac anomalies
- Ventrikelseptumdefekt
- Pulmonalatresie
- congenital aortic stenosis
- Single Ventricle
- fibromuskuläres Band im linken Vorhof
- Valvula Eustachii
- double chamber right ventricle (DCRV)
- kongenitale Pulmonalstenose
- Atresie der Aorta
- Truncus arteriosus communis
- congenital heart disease : CXR approach
und weiter:
- Lungensequester
- acute respiratory distress syndrome (ARDS)
- Ektasie Aorta ascendens
- kongenitale pulmonale Atemwegsmalformation (CPAM)
- einseitig vermehrte Transparenz Thorax
- Hydrops fetalis
- obstetric curriculum
- Ösophagusatresie
- Situs inversus
- Chylothorax
- Situs ambiguus
- Kardiomegalie
- nuchal translucency
- Mikrognathie
- acyanotic congenital heart disease
- rechts descendierende Aorta
- Diastrophische Dysplasie
- fetal pleural effusion
- epikardiale Schrittmachersonden
- mandibuläre Retrognathie
- nuchal thickness
- CHARGE-Syndrom
- fetal conditions associated with maternal diabetes
- abnormal ductus venosus waveforms
- Golfballphänomen
- caudal dysplasia sequence
- Abernethy malformation
- Ellis-van-Creveld-Syndrom
- Embryopathia rubeolosa
- CXR approach to congenital heart disease
- Fetales Valproat-Syndrom
- Rubinstein-Taybi-Syndrom
- camptomelic dysplasia
- Cornelia-de-Lange-Syndrom
- endocardial cushion defect
- Surfactant-Mangelsyndrom
- Goldenhar-Gorlin-Syndrom
- Polysplenie-Syndrom
- Kabuki-Syndrom
- Lungensequester extralobulär
- Fryns-Syndrom
- absent ductus venosus
- chest x-ray appeoach to congenital heart disease
- Thrombozytopenie-Radiusaplasie-Syndrom
- verzögerte Skelettreifung
- congenital heart disease - chest x-ray approach
- mesoectodermal dysplasia
- fetal tachyarrhythmia
- transient tachypnea of newborn
- anomalous left coronary artery off the pulmonary artery
- fetal complete atrioventricular block
- Zyanotischer Herzfehler
- dilantin embryopathy
- fetal bradyarrhythmia
- Miller-Dieker Syndrom
- hydrolethalus
- McKusick-Kaufman-Syndrom
- four chamber cardiac view
- iron deficiency anaemia
- lentiginosis profusa syndrome
- Zephalozele
- congenital vascular anomalies
- Herzektopie
- fetal nuchal oedema
- camptomelic dwarfism
- retained foetal fluid
- cyanotic congenital cardiac anomaly
- kongenitaler Hydrozephalus
- Nabelvenenaneurysma
Assoziationen und Differentialdiagnosen zu congenital cardiovascular anomaly:
atrioventricular
septal defect (AVSD)
