Congenital cardiac disease with cyanosis implies that cyanosis is a major feature at presentation.
They are disorders where the shunt is right to left. These conditions are uncommon, especially in adults, since there is a high mortality if corrective cardiac surgery is not undertaken.
There are many examples of cyanotic congenital heart disease. More well known include:
- Fallot's tetralogy
- pulmonary stenosis
- Eisenmenger's syndrome
- transposition of the great vessels
- total anomalous pulmonary venous drainage
- tricuspid atresia
- pulmonary atresia
Clubbing of the fingers and toes is associated with cyanotic congenital heart disease - it does not appear until approximately 3 months of age. Clubbing appears first in the thumb (1).
- Radley-Smith RC (1993).Physical signs of congenital heart lesions. Medicine International, 21(12), 467-73