1. TREATMENT OF CONGENITAL HEART DISEASE BASIS OF TREATMENT OF ASD, VSD &PDA
DR AFTAB YUNUS FRCSEd.
CHAIRMAN CARDIAC SURGERY
KING EDWARD MEDICAL UNIVERSITY, LAHORE.

2. CONGENITAL HEART DISEASES
Acyanotic
Atrial Septal Defects.
Ventricular Septal Defects.
Patent Ductus Arteriosus.
Cyanotic
Fallot’s Tetralogy.
Total Anomalous Venous Drainage.
Transposition of Great Arteries.

3. CONGENITAL HEART DISEASES
Atrial Septal Defects
Ventricular Septal Defects.
Patent Ductus Arteriosus.

4. ATRIAL SEPTAL DEFECTS. Defect (Hole) in inter atrial septum.
Blood flows from left atrium to right atrium.
Blood flow through pulmonary (Lungs) circulation increases.
Changes in Pulmonary (Lungs) blood vessels.

5. Ventricular septal defects
Defect (Hole) in the inter-ventricular septum.
Blood flow from left ventricle to right ventricle.
Blood flow through pulmonary (Lungs) circulation increases.
Changes in pulmonary (Lungs) blood vessels

6. Patent ductus arteriosus
Persistence of fetal structure Ductus arteriosus.
Connects Aorta with left pulmonary artery.
Blood flows from aorta to left pulmonary artery.
Lungs blood flow increases.
Changes in pulmonary (Lungs) blood vessels

7. treatment To reduce the blood flow to lungs to normal.
Closure of these abnormal blood flow channels.
With time.
By cardiac physician
By cardiac surgeon

8. Closure with time Observe for 1 year. if no symptoms.
In Premature infants.
Drugs. (PDA: NSAID ibuprofen/indomethacin)

9. Closure by cardiac physician
Not open heart surgery.
Through femoral artery or vein.
Place a device to close the defect.

10. PDA

11. ASD

12. VSD

13. Closure by cardiac surgeon pda
Left postero-lateral thoracotomy.
PDA dissected and doubly ligated.
Thoracotomy closed.

14. Closure by cardiac surgeon asd
Median Sternotomy.
Heart-Lung Machine.
Right atrium opened.
Hole in septum either closed directly or by a patch.
Off Heart-Lung Machine.
Closure

15. Closure by cardiac surgeon Vsd
Median Sternotomy.
Heart-Lung Machine.
Right atrium opened.
Hole in septum closed by a patch.
Off Heart-Lung Machine.
Closure