We present the case of a 3-month-old girl who had unrepaired Tetralogy of Fallot who presented to the emergency department with an acute hypoxic episode. The patient was hyperpneic and cyanotic, with an initial oxygen saturation of 56%. She did not respond to knee-to-chest positioning. A single dose of intranasal fentanyl was administered with subsequent resolution of her symptoms and improveme...

A 7 year old boy with a history of repaired tetralogy of Fallot with aortic valve replacement was scheduled to undergo laparoscopic cholecystectomy. His significant history comprises of post cardiac surgery with warfarin anticoagulant. Perioperatively warfarin was converted to low molecular weight heparin and the patient underwent general endotracheal anaesthesia with caudal epidural anaesthesi...

A case of tetralogy of Fallot is described, in which thrombotic obstruction of the superior vena cava developed after total correction. Partial thrombolysis was achieved with streptokinase therapy.

BACKGROUND Patients with repaired tetralogy of Fallot experience variable outcomes for reasons that are incompletely understood. We hypothesize that genetic variants contribute to this variability. We sought to investigate the association of 22q11.2 deletion status with clinical outcome in patients with repaired tetralogy of Fallot. METHODS AND RESULTS We performed a cross-sectional study of ...

OBJECTIVE To evaluate the results of pulmonary valve replacement in patients with severe pulmonary regurgitation after tetralogy of Fallot repair in Hong Kong. DESIGN Retrospective review. SETTING University teaching hospital, Hong Kong. PATIENTS Consecutive patients undergoing pulmonary valve replacement after repair of tetralogy of Fallot between August 2002 and December 2008. MAIN OU...

OBJECTIVE The aim of this study was to examine the prognostic significance of ventricular arrhythmia on the ambulatory electrocardiogram (ECG) after repair of tetralogy of Fallot. BACKGROUND Ventricular arrhythmia is common after repair of tetralogy of Fallot and has been proposed as the basis for late sudden death. The prognostic significance of ventricular arrhythmia on ambulatory ECG and t...

Dr. J. A. DAVIS: The patient (Case No. 298928, P.M. No. 11116) we are about to discuss was a male infant born on 30 December 1964. He was the child of the third pregnancy of a 25-year-old woman with a proved Fallot's tetralogy. The first pregnancy had ended in an abortion at 3 months; the second yielded a live infant who weighed only 1,420 g. at 37 weeks' gestation and died at the age of 30 hou...

Background Regional myocardial scarring in adults following Tetralogy of Fallot (TOF) repair is associated with adverse clinical outcomes. This is the largest study to date assessing native T1 times as a marker for diffuse myocardial fibrosis in children after TOF repair. The aim of the study was to describe native T1 times patients post-TOF repair and to evaluate its relationship to clinical s...

Fallot tetralojisi en sık görülen siyanotik doğumsal kalp hastalığıdır. Bu hastalarda doğum sonrası meydana gelen ani hemodinamik değişiklikler ciddi, yaşamı tehdit eden multiorgan komplikasyonlarına yol açar. Bu yüzden anestezi seçimi zordur. Otuz üç haftalık düzeltilmemiş Fallot tetralojili gebe sezeryan operasyonuna alındı. Sorunsuz bir şekilde epidural anestezi uygulandı. Hastanın vital bul...

The tetralogy of Fallot constitutes the commonest variety of cyanotic congenital heart disease found in patients surviving infancy (Wood, 1956; Keith, Rowe, and Vlad, 1958). Following the pioneer work of Lillehei and his associates (1955), the complete surgical correction of this lesion has become a standard procedure in most centres. Although Malm et al. (1963) have reported 41 consecutive pat...