The provided transcript is in Russian and discusses the anatomical and hemodynamic features of Tetralogy of Fallot (TOF), a congenital heart defect. The summary will be in English as required.

Anatomy of Tetralogy of Fallot (TOF)
📌 Tetralogy of Fallot is classified as a "blue" heart defect involving the mixing of pulmonary and systemic circulation.
📌 TOF classically consists of four components: Ventricular Septal Defect (VSD), Stenosis of the right ventricular outflow tract, Dextroposition (overriding) of the aorta, and Right Ventricular Hypertrophy (RVH).
📌 The aorta is positioned over the interventricular septum, allowing it to receive blood from both ventricles.

Hemodynamic Consequences of TOF
🩸 Due to the stenosis of the right ventricular outflow tract, blood cannot fully enter the pulmonary artery (pulmonary circulation).
🩸 Blood flows from the right ventricle (RV) into the left ventricle (LV) via the VSD because LV pressure is significantly higher than RV pressure, leading to RV hypertrophy.
🩸 Mixing of venous (deoxygenated) and arterial (oxygenated) blood occurs as blood shunts from the RV to the LV and then into the aorta.
🩸 Reduced oxygenated blood flow to the left atrium and ventricle results in central cyanosis, classifying TOF as a "blue" defect.

Key Points & Insights
➡️ Tetralogy of Fallot involves four major structural anomalies that significantly disrupt normal blood flow dynamics.
➡️ RV hypertrophy is a secondary effect resulting from the high resistance the right ventricle must overcome to eject blood past the outflow tract obstruction.
➡️ The defect leads to arterial-venous mixing in the aorta, causing the characteristic cyanosis observed in patients.
➡️ The VSD allows venous blood to shunt leftward into the systemic circulation due to elevated pressure in the right ventricle relative to the obstruction severity.

📸 Video summarized with SummaryTube.com on Oct 08, 2025, 19:44 UTC