L→R shunting lesions:
Ventricular septal defect (V...
Lethargy, poor feeding, and failure to thrive
Dyspnea on exertion
Recurrent respiratory infections
VSD and AV canal:
Dusky color, hepatomeg...
Maintain warmth and oxygenation.
Treat hypoglycemia and acidosis.
Establish IV access.
Prepare for endotracheal intubation.
All newborns with suspected CHD:
Admit to pediatric ICU.
CHD with acute worsening of cyanosis or CHF
CHD with pneumonia or bronchiolitis
Acyanotic lesions presenting at 2–12 wk:
Coarctation as DA closes
Septal defects as pulmonary vascular resistance drops
Classic ECG in AV canal: Superior QRS axis
Classic CXR in coarct...
Bonow RO, Mann DL, Zipes DP, et al., eds. Congenital heart disease. Braunwald's Heart Disease. 98th ed. Philadelphia, PA: Saunders Elsevier; 2012:1411–1467.
Dolbec K, Mick N. ...
745.4 Ventricular septal defect
745.5 Ostium secundum type atrial septal defect
746.89 Other specified congenital anomalies of heart
747.0 Patent ductus arteriosus
745.60 Endocardial cushion def...
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