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Describe PS with VSD in Tetralogy of Fallot's ?
This group is also known as Tetralogy of Fallot's physiology. The classic example is Fallot's tetralogy characterized by: (1) Severe PS (Right ventricular outflow tract obstruction) both sub-valvular and valvular, (2) Large unrestrictive VSD, (3) Overriding of Aorta, and (4) Right ventricular hypertrophy.
Figure: Pulmonary stenosis with VSD
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Angiographic Quantification Gr 1 - minimal systolic jet, clears rapidly Gr 2 - partial RA opacification Gr 3 - Opacification of whole of RA GR4 - Opacification of
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