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Heart lies on the right side of the thorax instead of the left, Caused because the heart loops to the left instead of the right
Situs inversus
General transposition of the visceras due to reverse rotation Caused by- absence of a single protein due to particular mutation in chromosome no. 12
Ectopia cordis
Heart is exposed to the chest wall Caused by faulty apposition of the lateral folds of the embryo
Probe patency of foramen ovale Persistent foramen secundum Pre-natal Closure of foramen ovale
20% of cases, fusion of the septum primum and septum secundum is incomplete a narrow oblique cleft remains between the two atria. does not allow intracardiac shunting of blood
Incomplete development or extensive resorption Septum secundum fails to overlap septum primum Permitting shunting of blood between Rt. And Lt. atria
Rare Rt. Half becomes hypertrophied and Lt. Half is poorly differentiated.
Associated with Persistent foramen primum & patent inter-ventricular foramen Septal cusp of tricaspid valve and ventral cusp of mitral valve spilt into ventral and dorsal componentfuse- single atrioventricular canal guarded by five cusps Found in Down syndrome
Tricuspid atresia
Rt. Atrio-ventricular orifice is closed by fusion tricuspid valve Blood reaches the Rt. Ventricle through patent foramen ovale & inter-ventricular foramen Associated with hyper trophy of Lt. ventricle and rudimentary Rt. ventricle
Defect in membranous part of inter-ventricular foramen AV bundle with its Rt. and Lt. limb passes along the lower margin of the opening
Complete absence of atrioventricular septum Agenesis of mascular part of inter-ventricular foramen Known as cor triloculare
Tetralogy of Fallot
(a) pulmonary stenosis, (b) displacement of aortic orifice to the right to override the ventricular septum, (c) patent interventricular foramen, (d) hypertrophy of the Rt. Ventricle Associated with A.S.D- pentalogy
Esenmengers complex
Pulmonary hypertension due to(a) hyperplasia of the pulmonary capillary plexus, (b) dilatation of pulmonary trunk, (c) hypertrophy of the Rt. Ventricle Associated with A.S.D, V.S.D, P.D-
Esenmengers syndrome
Agenesis of aorto-pulmonary septa Due to abnormal migration of neural crest cells Associated with patent interventricular foramen
Reverse spiral attachment of aorto-pulmonary septum ascending aorta arises from Rt. Ventricle and pulmonary trunk arises from Lt. Ventricle Associated with patent interventricular foramen-
tausigbing syndrome
The trunk of the pulmonary artery is narrow or even atretic The patent oval foramen then forms the only outlet for blood from the right side of the heart. The ductus arteriosus, always patent, is the only access route to the pulmonary circulation.
Fusion of the thickened valves may be so complete that only a pinhole opening remains. The size of the aorta itself is usually normal. When fusion of the semilunar aortic
Acardia
Blood in the Lt. coronary artery is entirely venous Left ventricle dilates & severe cardiac failure occurs