Tetralogi of Fallot (Tof)

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TETRALOGI OF FALLOT (TOF)


VSD
PS
OvA
RVH
AO
AP
LV
LA
RA
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TETRALOGI OF FALLOT (TF)
4 defects : VSD, PS, RVH, overriding of the aorta
Frekuensi : 10-15% CHD, cyanotic CHD nr.1 (75%)
Hemodynamic :
PS + VSD R-L shunt
Cyanosis diameter VSD, PS
R-L shunt polycytemia & tromboemboly
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Menifestasi Klinik : fatique & dyspnea, clubbing
fingers, scoliosis, squatting position, hemopthysis
Thorax : RVA >>, thrill lower LSB
S1 N, S2 keras
Ejection systolic murmur LSB3-4
Lab : Hb, Ht, RBC meningkat
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Echo : VSD, overriding Ao, RVOT obstruction
X-ray : couer en sabot, RVH, PBF
EKG : RAD, RAE, RVH
Komplikasi :
Infark cerebral (age < 2 yrs)
Abses cerebral (age > 2 yrs)
Polycytemia
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Anemia def.Besi (Ht < 55%)
CHF (sangat jarang)
Penatalaksanaan :
Surgery : palliative / total correction

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