Presentation
Cyanotic baby.
Patient Data
Age: 1 year.
Gender: Male
From the case:
Tetralogy of Fallot
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Conventional radiograph shows typical boot-shaped heart with upturned cardiac apex indicative of right ventricular hypertrophy as well as concave pulmonary arterial segment indicative of pulmonary hypoplasia.
From the case:
Tetralogy of Fallot
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- large subaortic ventricular septal defect (VSD) with an over-riding aorta. The over-riding aorta is dilated and measures 1.6 cm in its maximal diameter at the level of the main pulmonary artery (MPA)
- antegrade continuity between the right ventricle (RV) and MPA with severe infandibular and valvular pulmonary stenosis
- confluent relatively small sized MPA with fair caliber of its major branches
- left-sided aortic arch with common bovin origin of the left CCA and the brachiocephalic artery
- mild cardiomegaly with right ventricular hypertrophy
- situs solitus, apex to the left
- atrio-ventricular and ventriculoarterial concordance
- no evident anomalous pulmonary venous drainage
- no PDA
- No major aorto-pulmonary collaterals (MAPCAs).
Case Discussion
A typical case of tetralogy of Fallot (TOF) with subaortic VSD, over-riding aorta, pulmonary stenosis and right ventricular hypertrophy.