Definisi Tetralogi fallot (TF) adalah kelainan jantung dengan gangguan sianosis yang ditandai dengan kombinasi 4 hal yang abnormal meliputi. Tetralogy of Fallot is a congenital cardiac malformation that consists of an interventricular communication, also known as a ventricular septal defect, obstruction. BAB II TETRALOGY OF FALLOT A. REVIEW ANATOMI FISIOLOGI JANTUNG Kelainan sianotik memiliki pengertian bahwa bayi mempunyai.

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Overriding aorta – Wikipedia

The pulmonary supply is through multiple systemic-to-pulmonary collateral arteries. Mengatasi kegawatan yang ada.

Others will palliate symptomatic neonates, and perform a complete repair in all patients at the age of 4 to 6 months. Dffinisi associated lesions include atrial septal defects, and additional ventricular septal defects, the latter usually being muscular.

Perbedaan ini terjadi karena pada sirkulasi darah fetal masih berhubungan dengan plasenta sebagai sumber oksigen dan nutrisi fetus. Konsumsi obat-obatan atau alkohol saat hamil Faktor eksogen a. Guideline Tetralogy of Fallot Documents.

Anak yang lahir sebelumnya menderita penyakit jantung bawaan c. Manifestasi klinik yang umum terjadi pada tetralogy of fallot adalah: Incidence is slightly higher in males than females.

Posisi lutut ke dada agar aliran darah ke paru bertambah 2. American Journal of Cardiology. Even children who are generally not too deeply cyanosed blue may develop acute severe cyanosis or hypoxic “tet spells”.

Tetralogi Fallot – Bahan

The embryological basis of the combination of lesions is antero-cephalad deviation of the developing outlet ventricular septum, or its fibrous remnant should this septum fail to muscularise.

Clinical manifestations and diagnostic work-up The initial presentation of tetralogy of Fallot varies depending on the severity of the obstruction of blood flow to the lungs. Pathophysiology is dependent primarily upon severity of the right ventricular outflow tract RVOT obstruction.

Also, see eMedicine’s patient education article Tetralogy of Fallot. EKG elctrocardiogram showing the thickening of the right ventricle muscle CBC showing increased red blood cells Chest X-ray showing a “boot shaped” heart and dark lungs Cardiac catheterization Echocardiogram for the definitive diagnosisTreatmentSurgery to repair the defects in the heart is always performed relatively early in life. Nilai analisa gas darah menunjukkan peningkatan tekanan partial karbondioksida PCO2penurunan tekanan parsial oksigen PO2 dan penurunan pH.


Oximetry and arterial blood gasesoOxygen saturation is variable, but pH and pCO2 are normal unless the patient is in extremis, such as during a tet spell. These abnormalities are associated with the DiGeorge syndrome and branchial arch abnormalities. Kondisi setelah olah raga 6. Concerns regarding such neonatal complete repairs include exposure of the neonatal brain to cardiopulmonary bypass, and the increased need to place a patch across the ventriculo-pulmonary junction when compared to older age at repair [ 2425 ].

In panel b, colour Doppler has been used, and demonstrates turbulence and acceleration of the flow of blood in the right ventricular outflow tract, originating at the level of the deviated outlet septum. In this specimen, opened in the same fashion as the heart shown in Figure 1, there is fibrous continuity between the leaflets of the aortic and tricuspid valves in the postero-inferior margin of the ventricular septal defect, making the defect itself perimembranous.

Radiologis Sinar X pada thoraks menunjukkan penurunan aliran darah pulmonal, tidak ada pembesaran jantung. Freedom from reoperation is decreased compared to patients with uncomplicated tetralogy of Fallot [ 17 ]. Most analgesics have sedating properties, which are beneficial for patients who are having hypercyanotic episodes. Infants with multiple systemic pulmonary collaterals may develop symptomatic heart failure requiring medical therapy.

The ventricular septal defect As discussed above, the interventricular communication found in tetralogy of Fallot exists because of the twtralogi and cephalad malalignment of the outlet portion of the muscular ventricular septum, or of its fibrous remnant should the outflow cushions fail to muscularise during embryonic development.

The first total repair of tetralogy of Fallot was performed by C.

A minority fwllot patients have difficulties later in life with heart failure or heart rhythm disorders and may require additional definisj or continued medication. Ventricular septal defect VSD Defect pada sekat ventrikel ini dengan ukuran yang paling sedikit sama dengan lubang aorta. Hipersianosis berkurang Denyut nadi perifer kuat dan teratur Tanda-tanda vital dalam batas normal Intake dan output seimbang Intervensi: They are used to treat heart failure or hepatic, renal, or pulmonary disease when sodium and water retention results in edema or ascites.


Kenaikan BB selama hamil Kg 5. European Journal of Cardiothoracic Surgery.

Critical Heart Disease in Infants and Children. Makalah ini akan membahas mengenai diagnosis dan tatalaksana dari TOF. The end result is that the chronic volume load of the right ventricle is transmitted to the pulmonary arteries, with concomitant dilation of these vessels.

Little attention has been paid on the complex cultural, economic, technology and other factors The deletion, manifested by varying degrees of palatal abnormalities, dysmorphic facies, learning disabilities, immune deficiencies, and hypocalcaemia, is frequently referred to as the DiGeorge Syndrome. It is a general rule that a pulmonary segment will not be supplied by both an arterial duct and a collateral artery [ 6 ].

Tetralogy of Fallot

The associated hypertrophy of the right ventricular myocardium is the haemodynamic consequence of the anatomical lesions created by the deviated outlet septum. Tetralogy of Fallot is classified as a cyanotic heart defect because the condition causes insufficiently oxygenated blood to be pumped to the body, which leads to cyanosis a bluish-purple coloration to the skin and shortness of breath.

Tujuan utama pembedahan definiai untuk mengembalikan aliran darah ke paru-paru sehingga dapat menurunkan hipoksia. In this specimen, also photographed in a fashion comparable for the heart shown in Figure 1, there is muscular tissue interposed between the leaflets of the aortic and tricuspid valves in the postero-inferior margin of the ventricular septal defect.

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