TY  - CHAP
M1  - Book, Section
TI  - Tetralogy of Fallot
A1  - Bashore, Thomas M.
A1  - Granger, Christopher B.
A1  - Jackson, Kevin P.
A1  - Patel, Manesh R.
A2  - Papadakis, Maxine A.
A2  - McPhee, Stephen J.
A2  - Rabow, Michael W.
A2  - McQuaid, Kenneth R.
Y1  - 2022
N1  - 
T2  - Current Medical Diagnosis & Treatment 2022
AB  - ESSENTIALS  OF  DIAGNOSISFive  features  are  characteristic:–  VSD.–  Concentric  RVH.–  RV  outflow  obstruction  due  to  infundibular  stenosis.–  Septal  overriding  of  the  aorta  in  half  the  patients.–  A  right-sided  aortic  arch  in  25%.Most  adult  patients  with  tetralogy  of  Fallot  have  been  operated  on,  usually  with  an  RV  outflow  patch  and  VSD  closure.  If  patch  overrides  the  pulmonary  valve  annulus,  pulmonary  regurgitation  is  common.Physical  examination  may  be  deceptive  after  classic  tetralogy  repair,  with  severe  pulmonary  valve  regurgitation  difficult  to  detect.Echocardiography/Doppler  may  underestimate  significant  pulmonary  valve  regurgitation.  Be  wary  if  the  RV  is  enlarged  or  enlarging.Arrhythmias  are  common;  periodic  ambulatory  monitoring  is  recommended.Serious  arrhythmias  and  sudden  death  may  occur  if  the  QRS  is  wide  or  the  RV  becomes  quite  large,  or  both.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessmedicine.mhmedical.com/content.aspx?aid=1184695099
ER  -