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1
Pediatric Cardiology (Summary Table)
Ruby Ann Punongbayan, MD Sept. 8, 2014
COARCTATION OF THE AORTA Most children asymptomatic but can have Secondary Bacterial Endocarditis (SBE) prophylaxis
(COA) CHF if severe ECG: LVH Hypertension tx
7% of all CHD Classic signs of coarctation are diminution CXR: Enlargement, Rib notching Elective repair at 2-3 years old
Aortic valve: Bicuspid in more than or absence of femoral pulses (children > 5 years; around 7 years old) Aggressive management of CHF
70% Higher BP in the upper extremities as Balloon angiography (shunt placement)
3.1
Pediatric Cardiology (Summary Table)
Seen in Turners Syndome compared to the lower extremities o Treatment of choice: Surgical repair
o Systolic ejection murmur Primary re-anastomosis or a patch
Hemodynamics aortoplasty
Obstruction of the left ventricular Subclavian flap aortoplasty (Waldhausen and
outflow pressure hypertrophy of Nahrwold)
the LV