DORV, Epstein Anomaly, and TOF | Baamboozle - Baamboozle

DORV, Epstein Anomaly, and TOF

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Tetrology of Fallot has 4 linked problems:

RVOT obstruction (PS/PA), VSD, overriding aorta (over RV), RV hypertrophy https://upload.medbullets.com/topic/120002/images/tof-updated.jpg

Everything we see at the bedside comes from how blood chooses the path of ___ ___ through these structures

least resistance

TOF: what happens if the atrial septum is intact?

No RA -> LA decompression, no back-up mixing route. Qp/Qs becomes dependant on RVOTO & SVR. Sm. changes in preload, afterload, or PVR = desat + cardiac output

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