Overview of the Most Common Types of Congenital Heart Disease
Type of Defect Medical Treatment Surgical Treatment Prognosis
ACYANOTIC
Atrial septal defect (ASD) Clinical trials using device closure during cardiac catheterization Open chest/open heart surgery with closure through patch (recommended age: preschooler). Excellent, with survival rate greater than 99%
Ventricular septal defect (VSD) Clinical trials using device closure during cardiac catheterization Palliative treatment: pulmonary banding; definitive repair: same as for ASD Excellent, with 95% or greater survival rate
Patent ductus arteriosus (PDA) In newborns - attempt pharmacological closure with indomethacin Open chest: surgical division or ligation of the patent ductus Excellent, with survival rate greater than 99%
Coarctation of the aorta Infants or children with CHF: digitalis and diuretics Open chest: resection of coarcted portion of aorta with end-toend anastomosis within first 2 years of life

Nonsurgical: balloon angioplasty
Fair - less than 5% mortality
CYANOTIC
Tetralogy of Fallot None - supportive prn Often done in stages with definitive repair accomplished within first year of life Fair - less than 5% mortality rate
Transposition of the great vessels None - supportive prn Arterial switch procedure during first weeks of life Guarded - 5-10% mortality rate