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Tetralogy of Fallot — or TOF — is one of the most common cyanotic congenital heart defects. It’s made up of four key problems: 1. Ventricular septal defect (VSD) – a hole between the ventricles. 2. Pulmonary stenosis – narrowing of the outflow tract to the lungs. 3. Right ventricular hypertrophy – the RV gets thick from working too hard. 4. Overriding aorta – the aorta sits over the VSD instead of the left ventricle.These defects together cause deoxygenated blood to bypass the lungs and go strai
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