In TOF anatomy, what is the significance of the "overriding aorta" positioning?

Answer

It is positioned directly over the VSD, receiving blood from both ventricles.

The overriding aorta is one of the four critical, interrelated structural abnormalities defining Tetralogy of Fallot. Its significance lies in its misplacement; instead of arising cleanly from only the left ventricle (which carries oxygenated blood), it sits directly astride the Ventricular Septal Defect (VSD). This positioning allows the overriding aorta to receive outflow from both the oxygen-poor right ventricle and the oxygen-rich left ventricle, meaning that poorly oxygenated blood is directly pumped out into the systemic circulation intended for the rest of the body.

In TOF anatomy, what is the significance of the "overriding aorta" positioning?
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