The St.Emlyn’s Podcast
Ep 191 - Adult Congenital Heart Disease in the ED: Part 2
May 26, 2021
Dr. Sam Fitzsimmons discusses challenges in managing adult congenital heart disease, including Eisenmenger Syndrome, Coarctation of the Aorta, and Transposition of the Great Arteries. The podcast explores complexities in treating these patients in the ED, emphasizing the importance of early recognition and specialized care for conditions like aneurysms and mixed circulations.
36:00
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Quick takeaways
- Adults with congenital heart disease may present to the ED with Isomenga Syndrome, characterized by cyanosis, clubbing, and respiratory distress.
- Isomenga Syndrome patients are at risk of paradoxical emboli and cerebral abscess formation, requiring cautious management and early intervention.
Deep dives
Understanding Isomenga Syndrome
Isomenga Syndrome is characterized by an open shunt between systemic and pulmonary circulations, leading to pulmonary hypertension and cyanosis. Common shunts include ventricular septal defects, atrial septal defects, and patent ductus arteriosus. Patients may present later in life due to missed detection or late repair, with the condition potentially affecting individuals in their 40s, 50s, or older.
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