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Tetralogy of Fallot: Everything you wanted to know but were afraid to ask
Lisa Wise-Faberowski1, Ritu Asija2, Doff B McElhinney3
1Department of Anesthesiology, Stanford University, Palo Alto, California.
Abstract:
Tetralogy of Fallot (TOF) has four anatomic features: right ventricular hypertrophy (RVH), ventriculoseptal defect (VSD), overriding aorta and right ventricular outflow tract obstruction (RVOT) with an occurrence of 3.9 /10,000 births. The pathophysiologic effects in TOF are largely determined by the degree of RVOT and not the VSD. Intra-operative anesthetic management is also dependent on the degree of RVOT obstruction and influenced by the extent of surgical RVOT repair.
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