1. Classification of congenital heart diseases
Left-to-right shunting
Atrial septal defect
Ventricular septal defect
Ductus Botalli persistens
Atrioventricular septal defect
Cyanotic (Right-to-left shunting)
Tetralogy of Fallot
Transposition of the Great Arteries
Tricuspid atresia
Pulmonary atresia
Ebstein anomaly
Total anomalous pulmonary venous connection
Single Ventricle
Obstruction
Congenital aortic stenosis
Pulmonary stenosis
Coarctation of the aorta

2. Atrial septal defect (ASD)
5-10% of congenital heart diseases
Paradox embolisation!

3. Treatment for ASD
Direct closure
Patch plasty

4. Ventricular septal defect (VSD)
20%
There is a tendency of spontaneous closure of VSD when it is a smaller one

5. We can ligate or clip the ductus or close it with a patch

6. Patch plasty

7. Complete transposition of the Great Arteries
Switch operation – correction at arterial level
Atrial Switch: Senning or Mastard operation -correction at atrial level – redirect systemic and pulmonary venous flow
5-7%

8. Tetralogy of Fallot (10%)
Incision in RV
Right-to-left shunting, cyanosis
Polyglobulia
Dyspnoe
Digital clubbing, cyanotic nail beds
Aorta is biventricular in origin- the pressure is almost the same in LV and RV
Reconstruction of pulmonary stenosis

9. Vascular ring Double aortic arch – forms a ring
Compression of the trachea and esophagus