CONGENITAL HEART DISEASES General defects structural problem in the heart 

Acyanotic congenital heart diseases with nor­mal or decreased pulmonary arterial blood flow (no shunt). Left sided HEART Malformations or structural problem in the heart 

• • Cardiac mal positions – Dextrocardia etc.
  • Congenitally corrected transposition of great ar­teries .(CTGA).
• Coarctation of aorta
• Mitral stenosis.
• Mitral regurgitation
• Obstruction at left atrium
• Pulmonary vein stenosis
• Cor triatriatum
• Endocardial cushion defect – Abnormal mitral valve (ASD + MR or ostium primum defect).
• Congenitally corrected transposition of great arteries.
• Congenital perforation, accessory commis­sure, chordae defects, cleft posterior leaflet.
• valvular.
• Aortic regurgitation.
• Primary endocardial fibroelastosis.
• Aortic stenosis – Subvalvular, Valvular, Supra-

CONGENITAL HEART DISEASES General defects structural

Right Sided HEART Malformations or structural problem in the heart 

• Ebstein’s anomaly of TV (ac anotic tw~).
• Pulmonary stenosis – Subinfundibular, Infundibu­lar, Valvular, Supravalvular.
• Idiopathic dilatation of the pulmonary artery (IDPA).

cyanotic congenital heart disease with in­creased pulmonary arterial blood flow (left to right shunt)

• Atrial Shunt
• ASD
• Sinus venosus defect – small, high de fect
• Partial anomalous pulmonary venous connec­tion (PAPVC).
• Ostium secundum – Simple ASD
• Ostium primum – ASD with MR
• ASD with mitral stenosis (Lutembacher’s syn­drome)- (Congenital ASD with rheumatic MSJ

Ventricular shunt

• VSD
• VSD with Aortic regurgitation

 Shunt between aortic root and right side of heart

• Coronary arteriovenous fistula.
• Ruptured sinus of Valsalva Aneurysm.

Shunt at aortopulmonary level  

• Patent ductus arteriosus.
• Aorto-pulmonary window.
• Anomalous origin of coronary artery from pulmonary trunk.
• Complete common Atrioventricular Canal (atrioventricular septal defect)

Cyanotic congenital heart diseases

• Increased pulmonary arterial blood flow (PABF)
• Corrected Transposition of Great Arteries (CTGA)
• Total anomalous pulmonary venous connection
• (TAPVC)
• Univentricular heart (no PS)
• Taussig Bing Anomaly
• Truncus arteriosus

Decreased pulmonary arterial blood flow or Nor­mal PABF

• Dominant LV
• Total anomalous pulmonary venous connec­tion.
• Pulmonary atresia with intact ventricular sep­tum.
• Ebstein’s anomaly of TV
• Single LV with PS.
• Dominant RV decreased PABF) No Pulmonary Hypertension , Fallot’s tetralogy
• PS with ASD
• PS with CTGA
• DORV with PS (Double outlet right ventricle
• with Pulmonary stenosis).
• With Pulmonary hypertension (Eisenmenger‘s syndrome)
• Total anomalous pulmonary venous connec­tion with pulmonary hypertension.
• Aortic atresia, mitral atresia (hypoplastic left heart)
• Normal ventricles
• Pulmonary AV fistula
• Vena cava – left atrium communication
• Atrial septal defect with reversed shunt – right to left shunt.
• Ventricular septal defect with reversed shunt­right to left shunt.
• Patent ductus arteriosus or aortic pulmonary window with reversed shunt .
• Double outlet right ventricle with pulmonary hypertension.
• Corrected transposition of great arteries with pulmonary hypertension .