All of the following are true regarding tetralogy of Fallot except:
c. Predominantly left to right shunt(Ref: Nelson's 20/e p 2211-2217, Ghai 8/e p 420-423)Right to left shunt is seen in ToF i.e. blood going from the pulmonary circulation to the systemic circulation Physical examination in a case of TOF shows: Cyanosis and clubbing, Normal jugular venous pulse (as there is no heart failure), a Single second heart sound (S2) and Ejection systolic murmur in pulmonary area.
Ejection systolic murmur in second intercostal space
Single second heart sound
Predominantly left to right shunt
Normal jugular venous pressure
C.V.S.