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124 Possible Causes for Cyanotic Congenital Heart Disease, Pulmonary Systolic Murmur

  • Patent Ductus Arteriosus

    Course and Complications  Ejection systolic murmur at birth (due to pulmonary hypertension)  continuous murmur after a few weeks  Development of Pulmonary arterial hypertension[] congenital heart disease.[] A heart murmur occurs in the pulmonary area; the murmur may be continuous, systolic with a short diastolic component, or only systolic, depending on the pulmonary artery pressure[]

  • Eisenmenger Syndrome

    Along the left sternal border systolic murmur can be heard, and early pulmonary systolic shock.[] Congenital heart disease in adults. 3rd. Elsevier, Saunders; 2009. Cyanotic congenital heart disease: a multisystem disorder; pp. 265–89. [ Google Scholar ] 5.[] Ejection systolic murmur audible along the left sternal border.[]

  • Large Ventricular Septal Defect

    […] vascular resistance decreases left to right shunt and converts systolic murmur in the one-sided murmur.[] , loudest at the fourth intercostal space, usually with a thrill, and a loud and widely split pulmonic component of S2 With fixed pulmonary hypertension, diastolic murmur[] Its clinical characteristics also include a systolic murmur and a palpable thrill on both sides of the chest, dyspnea and poor exercise tolerance.[]

  • Pulmonary Atresia

    Auscultatory finding: harsh systolic murmur that is best heard over Erb's point and left upper sternal border ; single second heart sound Diagnostics Pulse oximetry : SpO2[] Abstract Patent ductus arteriosus (PDA) stenting has gained acceptance for palliation in cyanotic congenital heart disease.[] Babies with this type of cyanotic congenital heart disease survive only for the first few days of life while the normal fetal shunts between left and right circulations remain[]

  • Trilogy of Fallot

    Systolic thrill and murmur are maximal in third or fourth left parasternal area. 2. Systolic murmur is long, and is not preceded by any ejection click. 3.[] Click here to view Final diagnosis Cyanotic congenital heart disease.[] Examination revealed central cyanosis, clubbing and a harsh grade IV/VI ejection systolic murmur at the pulmonary area.[]

  • Left to Right Cardiac Shunt

    Auscultatory findings Harsh h olosystolic murmur over the left lower sternal border ; typically louder in small defects Mid- diastolic murmur over cardiac apex Systolic thrill[] Right to left cardiac shunt is hence referred as cyanotic congenital heart disease.[] Significant amounts of blood shunting from right to left without traversing the lungs causes cyanotic congenital heart disease.[]

  • Right Heart Endocarditis

    Increased flow across the pulmonary or aortic valve causes a midsystolic crescendo-decrescendo (ejection systolic) murmur.[] Diseases listed under high risk include: Prior endocarditis Unrepaired cyanotic congenital heart diseases Completely repaired congenital heart disease in their first 6 months[] congenital heart disease who have the following: Unrepaired cyanotic congenital heart disease (including children with palliative shunts and conduits) Completely repaired[]

  • Transposition of the Great Vessels

    In patients with a VSD there may be a systolic murmur, which increases in intensity as the pulmonary vascular resistance falls.[] congenital heart disease.[] Thrombocytopenia is common in patients with cyanotic congenital heart disease leading to bleeding complications.[]

  • Tetralogy of Fallot

    Single S2 - pulmonary valve closure not heard. Systolic ejection murmur - varies in intensity inversely with the degree of RVOT obstruction.[] Abstract Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease and can occur in the setting of chromosomal aberrations or multisystem malformation[] Abstract Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease, with a familial recurrence risk of 3%.[]

  • Persistent Truncus Arteriosus

    Auscultation is completed by a mild or intense systolic murmur along the left sternal border. A mid-diastolic mitral flow murmur can also be noted.[] Juxtaposition of the atrial appendage is a sign of severe cyanotic congenital heart disease, and this is best diagnosed by a selective right atriogram or superior venacavogram[] With a clinical picture of cyanotic congenital heart disease, with high pulmonary blood flow, we proceeded with the definitive tests.[]

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