Right-to-left Shunts: Summary

Summary of right-to-left shunts

Lesion Symptoms Signs Management
Tetralogy of Fallot Cyanotic 'spells'

Cyanosis
Clubbing

Harsh ESM
RVH when older

Medical management of cyanotic spells
Surgery at 6 months
TGA Cyanosis

Cyanosis

Loud S2

Medical management of cyanosis
Balloon septostomy
Surgery
TGA: Transposition of the great arteries; ESM: ejection systolic murmur; RVH: right ventricular hypertrophy; S2: second heartsSound