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Abnormality: Tetralogy of Fallot is a complex congenital cardiac defect consisting of:

  1. pulmonic stenosis
  2. overriding aorta
  3. VSD
  4. hypertrophic right ventricle

The hemodynamic consequences of Tetralogy of Fallot consist of:

  1. systemic hypoxemia
  2. polycythemia with reduced peripheral circulation and seizures
  3. reduced right ventricular distensibility due to concentric hypertrophy. This can result in dysrhythmias.