1. CCHD with Low PBF & No PAH
TOF
TOF Equivalents
DORV+ VSD+ PS
D-TGA + VSD+ PS
L-TGA + VSD+ PS
Tricuspid Atresia + VSD + PS
Single Ventricle + PS
Truncus Arteriosus with small
pulmonary arteries
Pulmonary Atresia with IVS
PS with ASD
Ebsteins Anomaly Of TV

2. CCHD with Low PBF & PAH
Eisenmenger’s Syndrome

3. CCHD with High PBF
Inter circulatory mixing Venous level: TAPVC Atrial level : Single Atrium, Tricuspid Atresia, HLHS Ventricular level : Single ventricle Arterial level: Truncus Arteriosus Transposition Physiology D TGA Taussing bing anomaly

4. CCHD with Near Normal PBF
Pulmonary Arterio Venous Fistula Anomalous drainage of vena cava to Left Atrium Un roofing of coronary sinus in to Left Atrium

5. Factors affecting age of Presentation in CCHD

6. Factors affecting age of Presentation in CCHD
0-3 days :
Changes in Transition Circulation
4-14 days :
Closing ductus physiology
2-18 weeks:
Low pulmonary vascular resistance
Any age:
Myocardial dysfunction, Metabolic and idiopathic

7. Factors affecting age of Presentation in CCHD : 0-3 days
Changes in Transition Circulation Parallel non mixing circulation TGA Critically obstructed series circulation- Obstructed TAPVC HLHS & HRHS Critical AS Interrupted aortic arch HRHS Critical PS Severe Ebsteins

8. Factors affecting age of Presentation in CCHD : 4- 14 days
Closing Ductus Physiology
Obstructed Pulmonary circulation
TOF (Severe)
Tricuspid atresia
TGA + VSD + PS
Single ventricle + PS
Obstructed Systemic circulation
Severe CoA

9. Factors affecting age of Presentation in CCHD :2 weeks to 18 weeks
Low Pulmonary vascular resistance
Shunt lesions with Left to Right shunts
Complete AV Canal defect
TOF with mild PS
Large VSD
TAPVC (Non obstructed)
TGA + VSD without PA
Single ventricle without PS
ALCAPA

10. 4- 12 months VSD (small to moderate) PDA (small to moderate) ASD
Mild CoA
AS Mild to Mod
PS Mild to Mod

11. Cardiac causes of CHF according to age

12. Cardiac causes of CHF according to age
IST Day of life
HLHS
Obstructed TAPVC
Endocardial fibroelastosis
Large AV fistula
Arrythmia : PAT
Congenital Severe TR or PR
Premature infants with large PDA

13. Cardiac causes of CHF according to age
First week of life
HLHS
Complete TGA
CoA
Severe AS

14. Cardiac causes of CHF according to age
During infancy
CoA with PDA or VSD
Large VSD or PDA or AV Canal defect
TAPVC
Tricuspid atresia
Persistent Truncus
DORV
TGA with Large VSD
ALCAPA
Myocarditis

15. CCHD Clinical clues to Diagnosis

16. CCHD with Bounding Pulse
Truncus Arteriosus
Pulmonary Atresia with Large PDA or Large MAPCAS
TOF with severe AR
Eissenmenger PDA with Pulmonary Regurgitation

17. CCHD with Prominent A wave in JVP
TRICUSPID ATRESIA with Restrictive ASD
CCHD with Cannon waves (Complete Heart Block)
CCTGA
Single Ventricle especially Inverted type

18. CCHD with Prominent V wave in JVP
Ebsteins anomaly
Eisenmengers with severe TR
Pulmonary atresia with IVS and severe TR

19. CCHD with Prominent LV Impulse
TRICUSPID ATRESIA
SINGLE VENTRICLE OF LV TYPE
TOF with significant AR
PULMONARY ATRESIA with IVS
TRUNCUS with Truncal Regurgitation to LV

20. CCHD with Wide Split S2
TAPVC
EBSTEINS ANOMALY

21. CCHD with Prominent Pulsation in Second Left ICS
Eisenmengers Syndrome
CCTGA with L Posed Aorta

22. CCHD with EDM TOF with AR TOF with Absent Pulmonary Valve
Eisenmenger with PR
TRUNCUS ARTERIOSUS with Truncal Regurgitation

23. CCHD with Continous Murmer
Pulmonary Atresia with PDA/MAPCAS
TOF : Post BT Shunt
Supracardiac TAPVC with Venous Hum at Root
of Neck

24. CCHD with Tricuspid Regurgitation
Ebsteins anomaly
PULMONARY ATRESIA with IVS and SEVERE TR
Eisenmenger with TR
TOF with AV CANAL Defect, Severe TR

25. CCHD with Dominant Ventricle

26. CCHD with Right ventricle dominance
TOF
DORV+VSD+PS
D TGA+VSD+PS
L TGA+VSD+PS
PS+ASD
HLHS

27. CCHD with Left Ventricle dominance
Tricuspid Atresia
Double inlet Left Ventricle
Pulmonary Atresia with IVS
Ebsteins Anomaly with Hypoplastic Rt Ventricle
Non Restrictive ASD

28. Biventricular Dominance
DORV+VSD
D TGA+VSD
Tricuspid Atresia with VSD
Truncus Arteriosus