Authors: John Morgan, Bonnie F. Zimble
|
Congenital Heart Defects:
Definition and Types
Special Care in Dentistry
John Morgan, DDS
Tufts University School of Dental Medicine, 2008
|
|
Study Questions:
-
What is a congenital heart defect?
-
Where can structural defects
occur?
-
What can happen with blood flow?
-
Recognize the names and major characteristics
of ten types of congenital heart defects.
What is a Congenital Heart
Defect?
According to the National Heart, Lung and Blood Institute
(NHLBI) at the National
Institutes of Health:
“A congenital heart defect is a
structural problem (or defect) in the heart that is present at birth. A
baby's heart begins to develop shortly after conception. During
development, structural defects can occur. These defects can involve
the walls of the heart, the valves of the heart, and the arteries and
veins near the heart. Congenital heart defects can disrupt the normal
flow of blood through the heart. The blood flow
can:
Congenital heart defect is the most
common type of major birth defect. Each year, more than 30,000 babies
in the United States are born with congenital heart defects.”
(National Heart, Lung and Blood Institute,
2006)
Click here to visit the
NHLBI
web site for more information on
congenital heart defects.
What are some of the different types of congenital
heart defects?
Here are some examples of congenital heart defects, with
brief descriptions from NHLBI and
the American Heart
Association:
Congenital Heart
Defects |
|
Type |
Description
|
|
Aortic stenosis
(AS) |
“a narrowing of the
aortic valve in the heart that causes it to open incompletely. This can
reduce blood flow to the body”
(NHLBI) |
|
Atrial septal defect
(ASD)
|
“a hole in the wall that
separates the upper chambers (atria) of the heart. This causes blood to
leak from one atrium to the other”
(NHLBI) |
|
Atrioventricular (A-V)
canal defect
|
“A large hole in the center of the heart exists
where the wall between the upper chambers joins the wall between the
lower chambers. Also, the tricuspid and mitral valves that
normally separate the heart's upper and lower chambers aren't formed as
individual valves. Instead, a single large valve forms that
crosses the defect. The large opening in the center of the
heart lets oxygen-rich (red) blood from the heart's left
side – blood that's just gone through the lungs –
pass into the heart's right side. There, the oxygen-rich
blood, along with venous (bluish) blood from the body, is sent back to
the lungs. The heart must pump an extra amount of blood and
may
enlarge.” (AHA) |
|
Bicuspid aortic
valve
|
“The normal aortic valve has three flaps (cusps)
that open and close. A bicuspid valve has only two flaps.
There may be no symptoms in childhood, but by adulthood
(often middle age or older), the valve can become stenotic (narrowed),
making it harder for blood to pass through it, or
regurgitant (allowing blood to leak backward through it).”
(AHA) |
|
Coarctation of the
aorta |
“a narrowing of
the aorta. It slows or blocks the flow of blood from the heart to the
body” (NHLBI) |
|
Patent ductus arteriosis
|
“…allows blood to mix between the pulmonary artery
and the aorta. Before birth an open passageway (the
ductus arteriosus) exists between these two blood vessels.
Normally this closes within a few hours of birth. When this
doesn't happen, some blood that should flow through the aorta and on to
nourish the body returns to the lungs.”
(AHA) |
|
Pulmonary stenosis
|
“a narrowing of
the pulmonary valve. The narrowing slows the flow of blood from the
right side of the heart to the lungs. The heart must pump harder to
push blood through the smaller opening”
(NHLBI) |
|
Subaortic stenosis
|
“…a narrowing of the left ventricle just below the
aortic valve, which blood passes through to go into the
aorta. This stenosis limits the flow of blood out of the left
ventricle.” (AHA) |
|
Tetralogy of
Fallot |
“a combination of four
defects:
-
Pulmonary valve stenosis is the narrowing of the pulmonary
valve. The narrowing slows the flow of blood from the right ventricle
to the lungs
-
VSD is a
hole in the wall that separates the left and right
ventricles
-
Overriding aorta is a defect in which the aorta is
positioned between the left and right ventricles, over the
VSD
-
Right
ventricular hypertrophy is the thickening of the right ventricle. The
thickening is caused by the heart having to work harder because of the
other defects” (NHLBI)
|
|
Ventricular septal defect
(VSD)
|
“a hole in the
wall that separates the lower chambers (ventricles) of the heart. This
causes blood to leak from one ventricle to the other”
(NHLBI) |
|
People who viewed this content, also viewed...