Which of the following cardiac lesions is likely to be found in an infant with congenital rubella?
A) Patent ductus arteriosus (PDA).
B) Tetralogy of Fallot.
C) Transposition of great vessels.
D) Coarctation of aorta.
E) Bicuspid aortic valve.
Answer And Discussion
The correct answer is “A.” Patent ductus arteriosus (PDA).
The most common cardiac lesions associated with congenital rubella are PDA and peripheral pulmonary artery stenosis.
PDA is characterized by a continuous “washing machine” murmur heard best over the left upper sternal border.
Tetralogy of Fallot and transposition of great vessels are classically cyanotic heart defects that have no known,association with congenital infections.
Coarctation of the aorta and bicuspid aortic valve both cause harsh systolic murmurs. The murmur of coarctation radiates to the back. Both coarctation and bicuspid aortic valve are commonly found in females with Turner syndrome.
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