Acyanotic congenital heart disease

Last revised by Tom Foster on 08 Oct 2018

Acyanotic congenital heart disease comprises numerous etiologies, which can be divided into those with increased pulmonary vascularity (pulmonary plethora) and those with normal vascularity:

Note that certain congenital defects may initially cause acyanotic congenital heart disease and later cyanotic congenital heart disease. Conditions with a left-to-right shunt (e.g. VSD, ASD) may initially be acyanotic but over time can cause maladaptive changes in the right ventricle and pulmonary vasculature, leading to pulmonary hypertension and Eisenmenger syndrome. When this occurs, the shunt is reversed and deoxygenated blood enters the systemic circulation.

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Cases and figures

  • Case 1: ventricular septal defect
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  • Case 2: AVSD
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  • Case 3: atrial septal defect
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  • Case 4: patent ductus arteriosus
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