Essential criteria for TOF includes all, EXCEPT:
Correct Answer: Valvular stenosis
Description: ToF is the most common cyanotic congenital hea malformation and one of the first complex lesions to be successfully repaired. ToF occurs in 7% to 10% of children with CHD. The four characteristic findings in ToF are (1) a malaligned VSD, (2) RV outflow or pulmonary valve or aery stenosis or atresia, (3) a dextroposed overriding aoa, and (4) RV hyperophy. Valvular stenosis is not a essential criteria for TOF. Ref: Aboulhosn J.A., Child J.S. (2011). Chapter 84. Congenital Hea Disease in Adults. In V. Fuster, R.A. Walsh, R.A. Harrington (Eds), Hurst's The Hea, 13e.
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