Recognition, understanding, and current management of cardiac lesions with decreased pulmonary blood flow.
Congenital heart lesions can be classified according to hemodynamic characteristics related to pulmonary blood flow patterns: increased, normal, or decreased, lesions with decreased pulmonary blood flow characteristically present with cyanosis. This article briefly reviews differential diagnoses for the presenting sign of cyanosis. Additionally, this article provides a comprehensive overview of cardiac physiology of lesions with decreased pulmonary blood flow. This information provides a foundation of knowledge for the recognition of acute symptoms in the newborn period and an understanding of immediate stabilization and medical and surgical interventions related to each diagnosis.
Spilman
L J
LJ
NICU, Children's Hospital, Albany Medical Center, NY 12208, USA.
Furdon
S A
SA
D003937:Diagnosis, Differential; D006330:Heart Defects, Congenital / Q000145:classification / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D017283:Neonatal Nursing; D010290:Parents / Q000193:education; D011652:Pulmonary Circulation