Right to Left Heart Shunts
- The 5 Ts
- Truncus Arteriosus
- Transposition of the Great Vessels
- Tricuspid Atresia
- Tetralogy of Fallot
- Total Anomalous Pulmonary Venous Return (TAPVR)
- Cyanosis at Birth
- May Require PDA
Total Anomalous Pulmonary Venous Return (TAPVR)
- Pulmonary Veins Do Not Connect to Left Atrium
- Oxygenated Blood Return to Right Atrium
- Incompatible with Life without a Shunt
- Vessel Enters at an Acute Angle
- Severe Cyanosis
- Pulmonary Edema
- Delayed Manifestation (1 or 2 years)
- Right Heart Failure
- Chest X-ray Shows "Snowman"
- Echocardiogram
- Surgical Correction
Transposition of Great Vessels
- Pulmonary and Systemic Circulation are in Parallel
- Incompatible with Life Without a Shunt
- Severe Cyanosis at Birth
- Single S2 sound
- Echocardiogram
- Chest X-ray shows "Egg-shaped Silhouette"
- Prostaglandin
- Avoid NSAIDs
- Surgical Correction
- Balloon Atrial Septostomy