Heart failure in full-term newborns
Heart failure in full-term newborns
Heart failure in full-term newborns
Which of the following cause of heart failure earliest in life?
[A] VSD
[B] TGA
[C] Truncus arteriosus
[D] Hypoplastic left heart syndrome
Heart failure in full-term newborns – Early in life
- Aortic coarctation syndrome
- Sustained tachyarrhythmia
- Cerebral
- Hepatic arteriovenous fistula
- Myocarditis
- Hypoplastic left heart syndrome
Congenital heart disease producing heart failure after age 1 to 2 weeks of age
- VSDs and AV septal defects
- TGA
- Truncus arteriosus
- Total anomalous pulmonary venous connection
Why VSD, TGA and Truncus arteriosus cause heart failure usually after the age of 1 to 2 weeks of age but not at birth?
- After age 1 to 2 weeks pulmonary vascular resistance reduce.
- This allows substantial left-to-right shunting
- Increased Left to Right shunt cause heart failure
- So heart failure is more common in this period.
