Chylomicrons are triglyceride-rich lipoproteins (75%-95% of their core lipid is triglyceride) made in the small intestine from ApoB-48
(apoliproprotein). VLDL are
made in the liver from ApoB-100.
Ventricular septal defect (VSD)
is the commonest form of
congenital heart disease. Maladie de Roger is a loud systolic murmur despite a small VSD.
Antibiotic prophylaxis should be used
at all times. The systolic
murmur does become softer as right heart pressures
increase and a right to left shunt
may develop in Eisenmenger's syndrome (leading
to cyanosis).
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