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	<title>Heart pearls! &#187; echo</title>
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		<title>Tetralogy of Fallot</title>
		<link>http://www.heartpearls.com/2009/04/tetralogy-of-fallot.html</link>
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		<pubDate>Mon, 06 Apr 2009 19:10:27 +0000</pubDate>
		<dc:creator>Dr Jayachandran Thejus MD</dc:creator>
				<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[echo]]></category>
		<category><![CDATA[TOF]]></category>

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		<description><![CDATA[This PLAX view shows aortic over-ride through a large VSD. Note the aortic-mitral continuity, absence of which would have made the diagnosis DORV!]]></description>
			<content:encoded><![CDATA[<p style="text-align: center;"><a href="http://www.heartpearls.com/wp-content/uploads/2009/04/tof-plax1.jpg"><img class="size-full wp-image-38 aligncenter" title="tof-plax1" src="http://www.heartpearls.com/wp-content/uploads/2009/04/tof-plax1.jpg" alt="tof-plax1" width="307" height="204" /></a></p>
<p>This is a parasternal view (PLAX view) of tetralogy of Fallot. Note the large VSD. Note that the aorta is overriding the VSD. There is more than 50% aortic override. The same situation occurs in DORV also. To make the distinction, look for aortic-mitral continuity. In this case, there is aortic-mitral continuity. Thus, the diagnosis is TOF. If the aortic valve were more than 5mm away from the mitral valve, it would have meant that aortic-mitral continuity was absent and then the diagnosis would have been DORV.</p>
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