Pathophysiology

Predisposing Factors Precipitating Factors

Genetics Environment = stress
Congenital Birth
Age at birth
Defects

anterior-leftward Underdevelopment of the Overriding of the

malalignment of RV Infundibulum Aorta
the infundibular
septum

High pressure
Harsh systolic
Ventricular from RV and Pulmonary
ejection murmur
Septal Defect Pulmonary Stenosis
Stenosis on pulmonic area

Increased RV
workload
Pushing of
deoxygenated
blood into the LV
and Aorta

Right Ventricular
Hypertrophy

Mixing of
Deoxygenated
and Oxygenated
Blood in the
Aorta
Episodes of bluish pale
skin during crying or
feeding
Inadequate
Fatigue Oxygenated
Blood Transport
Failure to thrive
to Systemic
Exertional Dyspnea Circulation

Clubbing of fingers