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Co a vsd
1. Coarctation and VSD
Overview and management options
Mohammad Shihata MD
Pediatric Cardiac Surgeon, Madinah Cardiac Center
Assistant Professor of Surgery, Taibah University
4. The Spectrum of Arch
Obstruction and LVOTO
HLHS CoA with Valvular Stenosis
5. HLHS or
Variants
IAA/CoA
+/-
VSD
Biventricular
Repair
1 or 2 stage
Single Ventricle
Norwood BCPC
TCPC
VSD
Normal MV
Complex LVOTO
Yasui (or)
Norwood/Rastelli
(or)
Ross/Konno +
Arch repair
6. Type and Size of the VSD
May influence the surgical approach.
Large vs. Small (VSD/ AO)
Posterior malalignment, inlet, muscular,
subarterial, or multiple
18. Conclusion
Neonates with CoA + VSD need to be carefully assessed
for the presence of associated LVOTO.
Both Primary and staged approaches have acceptable
outcomes.
If the VSD is likely to close spontaneously, Coarctation
repair alone is preferred.