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Which of the following is not a defect of the Tetralogy of Fallot?

  1. Pulmonary stenosis

  2. Right ventricular hypertrophy

  3. Slipper-shaped heart

  4. Overriding aorta

The correct answer is: Slipper-shaped heart

The condition known as Tetralogy of Fallot is characterized by four key structural heart defects. These include pulmonary stenosis, which involves narrowing of the outflow tract from the right ventricle to the pulmonary artery; right ventricular hypertrophy, where the muscle of the right ventricle becomes thickened due to increased workload; and overriding aorta, where the aorta is positioned directly over a ventricular septal defect, straddling the left and right ventricles. The choice that identifies a feature not a part of the classic Tetralogy of Fallot is the slipper-shaped heart. This term typically refers to a different morphological aspect observed in other conditions, rather than being a recognized defect associated with Tetralogy of Fallot. The structural impact of Tetralogy of Fallot leads to a distinct set of cardiac dynamics and impacts the shape and function of the heart differently than what is described by the term "slipper-shaped heart." Therefore, understanding the defining defects of Tetralogy of Fallot is crucial in differentiating it from other cardiac conditions.