Tetralogy of fallot with pulmonary stenosis

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36 Christian apitz, robert h. anderson, and andrew n. redington 753 even though, as stated by Lev and eckner, 1 no two cases are exactly the same, it is the characteristic anatomy that permits the instant recognition of the tetralogy of Fallot. as was emphasised by arthur Louis etienne Fallot, as long ago as 1888, all cases have an interventricular communica-tion, biventricular origin of the aorta, muscular obstruc-tion within the right ventricular outflow tract, and right ventricular hypertrophy (Fig. 36-1). there is no question but that hearts with this phenotypic morphology had been described long before Fallot emphasised the constellation of lesions that now bears his name. thus, according to Marquis, 2 the malformation was first described in 1673 by the danish monk, nicholas steno, in an ectopic heart from a fetus. Fallot deserves his eponym, nonetheless, since it was he who first observed that the combination of lesions accounted for the majority of cases of la maladie bleue, or cyanosis, which he encountered at autopsy. abbott, 3




Apitz, C., Anderson, R. H., & Redington, A. N. (2010). Tetralogy of fallot with pulmonary stenosis. In Paediatric Cardiology (pp. 753–773). Elsevier. https://doi.org/10.1016/B978-0-7020-3064-2.00039-4

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