2.2.
2 pathway
                                 Congenital heart disease
                                                             VSD                        surgery                             ASD
Stenosis                        Stenosis
pulmonal                        aorta
                                                                                   Injured incision
                                                           Left
Right                          Left                        ventricul
                               ventrikel                   ar shunt
ventrikel
                               volume                      to right                                           Left ventrikel
volume                                                                    pain             Risk of
                                                                                           infection          volume
                                                         Left
                               Cardiac
 Cardiac                                                 ventricular
                               output                                                                             Cardiac
 output                                                  shunt to right
                                                                                                                  output
                                                           Volume of       Systemi
                                Cardiac                    blood to the    c blood                                Tissue
Cardiac         Risk of         muscle       Risk of       lungs           volume                                 hypoxia
muscle          cardiom         hypertro     ASD
hypertr         egaly           phy
ophy                                                         Damage to    O2 to the                          Weak and
                                                             blood        tissue                             tired
             Left             Right                          vessels
                                             Open
             ventrikel        ventrikel                                                                    Activity intolerance
                                             forame
             volume           volume                                      Metabolic
                                             n oval        Fluid          and
                                                           exudation      nutritional              Less of o2 dan
                                                                                                   nutrient intake             Heart
                                The blood                                 disorders
        intake of O2
       dan nutrients to         reflects
       the tissues              into the
                                                         Pulmonary        Disorder of                                Risk of
                                pulmonary
                                                         edema            growth and                                 myocardial
                                vein
                                                                          development                                infarction
            Metabolic
            and                Pulmonary                Ability of
            nutritional        blood                    pulmonary
                               volume                   diffusion                                     Less baby
            disorders
                                                                                                      suction
                                                        hypoxia                                       power
                          Pulmonary
                          capillary damage
                                                        Short of breath                            Risk of
                                                                                                   nutritional
                                                                                                   disorders
                                                       Gas exchange
                          Fluid and fluid
                                                       distruption
                          exudation
                                                                                                  (Arif Muttaqin,2009)