Treatment of TOF

Ans. is 'a' i.e., Modified BT shunt Tetrology of fallot Cyanonic hea disease (MC). Defect in infundibular septum leads to : Pulmonary stenosis. VSD (Not ASD) Dextroposition and overriding of aoa. Right ventricular hyperophy (NOT LVH). Pink TOF (Acyanotic TOF) when PS is mild to moderate, balanced shunt across the VSD, pt does not have cyanosis. The modified Blalock-Taussig shunt is currently the most common aoopulmonary shunt procedure and consists of a Gore-Tex conduit anastomosed side to side from the subclan aery to the homolateral branch of the pulmonary aery Fontan procedure - Pulmonary ateria with intact uentricular septum. Glenn shunt - Anastomosis between SVC and pulmonary aery (tricuspid atresia) Rastelli operation - Double outlet right ventricle with pulmonary stenosis