Cyanotic congenital heart disease
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A number of entities can present as cyanotic congenital heart disease. These can be divided into those with increased (pulmonary plethora) or decreased pulmonary vascularity :
-
increased pulmonary vascularity
- total anomalous pulmonary venous return (TAPVR) (types I and II)
- transposition of the great arteries (TGA)
- truncus arteriosus (types I, II and III)
- large AVSD
- single ventricle without pulmonary stenosis
-
decreased pulmonary vascularity
- tetralogy of Fallot
-
hypoplastic right heart syndrome: pulmonary vascularity dependent on systemic collaterals
- tricuspid atresia
- hypoplastic right ventricle
- pulmonary atresia or severe stenosis
- Ebstein anomaly with atrial septal defect
- many other combined and infrequent anomalies such as
- double outlet right ventricle (DORV) with pulmonary stenosis
- single ventricle with pulmonary stenosis
Ebstein anomalywithatrial septal defect- Uhl anomaly
- pentalogy of Cantrell
The most important cyanotic congenital heart defects can be remembered with the five T's mnemonic.
-<li><a href="/articles/pentalogy-of-cantrell-3">pentalogy of Cantrell</a></li>-<li>many other combined and infrequent anomalies such as<ul>-<a href="/articles/double-outlet-right-ventricle">double outlet right ventricle (DORV) </a>with pulmonary stenosis</li>-<li>single ventricle with pulmonary stenosis</li>- +<a title="Hypoplastic right heart syndrome" href="/articles/hypoplastic-right-heart-syndrome">hypoplastic right heart syndrome</a>: pulmonary vascularity dependent on systemic collaterals<ul>
- +<li><a title="Tricuspid atresia" href="/articles/tricuspid-atresia">tricuspid atresia</a></li>
- +<li>hypoplastic right ventricle</li>
- +<li>
- +<a title="Pulmonary atresia" href="/articles/pulmonary-artery-atresia">pulmonary atresia</a> or severe stenosis</li>
- +</ul>
- +</li>
- +<li>many other combined and infrequent anomalies such as<ul>
- +<li>
- +<a href="/articles/double-outlet-right-ventricle">double outlet right ventricle (DORV) </a>with pulmonary stenosis</li>
- +<li>single ventricle with pulmonary stenosis</li>
- +<li><a href="/articles/pentalogy-of-cantrell-3">pentalogy of Cantrell</a></li>
-</ul>- +</ul><p>The most important cyanotic congenital heart defects can be remembered with the <a title="The five T's of cyanotic congenital heart disease (mnemonic)" href="/articles/the-five-ts-of-cyanotic-congenital-heart-disease-mnemonic">five T's</a> mnemonic.</p>