Skip to main content
Log in

Approach to Cyanotic Congenital Heart Disease in Children

  • Review Article
  • Published:
The Indian Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Early recognition and timely management of cyanotic congenital heart disease (CCHD) is necessary for good outcome. CCHD is an umbrella term encompassing many diseases with variable pathophysiology, which determines clinical presentation of CCHD. Conditions like total anomalous pulmonary venous connection (TAPVC) and transposition of great arteries (TGA) usually present in neonatal period. Tetralogy of Fallot (TOF) and related conditions present with squatting, cyanotic spells and silent chest with no evidence of congestive heart failure, whereas transposition physiology presents with congestive heart failure with cyanosis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12

Similar content being viewed by others

References

  1. Sasidharan P. An approach to diagnosis and management of cyanosis and tachypnea in term infants. Pediatr Clin N Am. 2004;51:999–1021, ix.

    Article  Google Scholar 

  2. Bouferrache B, Filtchev S, Leke A, Marbaix-Li Q, Freville M, Gaultier C. The hyperoxic test in infants reinvestigated. Am J Respir Crit Care Med. 2000;161:160–5.

    Article  CAS  Google Scholar 

  3. Park MK. Cyanotic congenital heart defects. In: Park MK, editor. Park’s Pediatric Cardiology for Practitioners, 6th ed. Philadelphia: Elsevier Saunders; 2014. p. 223.

  4. Perry LW, Neill CA, Ferencz C, Rubin JD, Lofferdo CA. Infants with congenital heart disease: the cases. In: Ferencz C, Rubin JD, Lofferdo CA, Magee CA, editors. Epidemiology of Congenital Heart Disease: the Baltimore-Washington Infant Study, 1981–1989. Mount Kisco: Futura Publishing; 1993. p. 33–62.

  5. Burchell HB. Total anomalous pulmonary venous drainage: clinical and physiologic patterns. Proc Staff Meet Mayo Clin. 1956;31:161–7.

    CAS  PubMed  Google Scholar 

  6. Tandon R. Congenital heart disease-classification. In: Tandon R, editor. Bedside Approach in the Diagnosis of Congenital Heart Diseases. New Delhi: B.I. Churchill Livingstone Pvt. Ltd; 1998. p. 117.

  7. Cetta F, Dearani JA, O’Leary PW, Driscol DJ. Tricuspid valve disorders: atresia, dysplasia, and Ebstein anomaly. In: Allen HD, Shaddy RE, Penny DJ, Feltes TF, Cetta F, editors. Moss and Adams, Heart Disease in Infants, Children and Adolescents, 9th ed. Philadelphia: Wolters Kluwer; 2016. p. 965–7.

Download references

Author information

Authors and Affiliations

Authors

Contributions

MR: Prepared framework of the article and prepared the images. PR: Prepared rough draft of the article. MR will be the guarantor of the article.

Corresponding author

Correspondence to Manojkumar Rohit.

Ethics declarations

Conflict of Interest

None.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rohit, M., Rajan, P. Approach to Cyanotic Congenital Heart Disease in Children. Indian J Pediatr 87, 372–380 (2020). https://doi.org/10.1007/s12098-020-03274-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12098-020-03274-3

Keywords

Navigation