TETRALOGIA DE FALLOT PDF

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Tetralogia de FallotTetralogia de Fallot ausculta ausculta SS ejetivo no bordo esternalSS ejetivo no bordo esternal esquerdo propagado para outrosesquerdo propagado para outros focos.

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Tetralogia de Fallot

It has been classically characterized by the combination of ventricular septal defect VSD , right ventricular outflow tract obstruction RVOTO , overriding aorta, and late right ventricular hypertrophy. Typically this is significant, resulting in cyanosis evident in the neonatal period, as a consequence of the right to left shunt across the VSD. In cases where outflow obstruction is minimal, cyanosis may be unapparent pink tetralogy resulting in delayed presentation, even into adulthood, although this is rare. The right ventricular hypertrophy is a result of the VSD and right ventricular outlet obstruction, both contributing to elevated resistance to right heart emptying 6. Chest radiographs may classically show a "boot-shaped" heart with an upturned cardiac apex due to right ventricular hypertrophy and concave pulmonary arterial segment. Most infants with TOF, however, may not show this finding 2. Pulmonary oligaemia occurs due to decreased pulmonary arterial flow.

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Tetralogia de Fallot (TOF)

The epidemiology of cardiovascular defects, part I: a study based on data from three large registries of congenital malformations. Pediatr Cardiol. Hoffman JI, Kaplan S. The incidence of congenital heart disease. J Am Coll Cardiol. The clinical anatomy of tetralogy of Fallot. Cardiology in the Young.

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