MRCP UK EXAMINATIONS

CARDIOLOGY

PROSTHETIC HEART VALVES

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The severity of ____ symptoms depends on the size of the VSD, the degree of PS and the position of the aorta.
A
cor triatriatum
B
infundibular PS
C
levo-transposition of the great arteries
D
tetralogy of fallot
Explanation: 

Detailed explanation-1: -The amount of blood shunted and the direction of the shunted blood determine the hemodynamic significance of the VSD. These factors are governed by the size, location of the VSD, and pulmonary vascular resistance. While VSDs are classified according to location, they can also be classified into size.

Detailed explanation-2: -The most important determinant of the severity and clinical consequences of TOF is the degree of right ventricular outflow obstruction. With a lesser obstruction, blood is shunted from left‐to‐right and permitted to preferentially enter the pulmonary circulation, allowing for oxygenation.

Detailed explanation-3: -Overview. Based on the size of the defect, VSD can be classified into small, medium, and large ventricular septal defects.

Detailed explanation-4: -The ventricular septal defect (VSD) in Fallot’s tetralogy (TF) was classified into four types: perimembranous (PM), muscular outlet (MO), doubly committed subarterial (DS), and DS with perimembranous extension.

There is 1 question to complete.