PATHOPHYSIOLOGY

SCHEMATIC

Predisposing Factors: Precipitating Factors:

 Genetics  Environmental
 DiGeorge Syndrome  Stress
 Age = at birth  Rubella
 Alcoholism

Alteration in Fetal Development

 Unequal growth of the aorticopulmonary
septum

Aorta is too large Overriding aorta

Steals space from

Pulmonary Stenosis
the Pulmonary
Artery

Right Ventricular Prevents Ventricular Septal

Outflow Obstruction ventricular wall to Defect Risk for Decreased
close Cardiac Output

Mixing of
oxygenated & Increased ventricular
deoxygenated contraction
blood

Decreased O2
supply to systemic Right Ventricular
circulation Hypertrophy

Hypoxia
 Cyanosis
 Hypercyanotic Spells
 Dyspnea on exertion
 Clubbing of fingers &
toes
 Heart murmurs
 Low birth weight
 Poor feeding
 Growth & development
delay
 Polycythemia

Impaired Gas
Exchange

Ineffective Tissue
Perfusion

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