Tetralogy of Fallot

Case contributed by Frank Gaillard
Diagnosis certain


Cyanotic neonate.

Patient Data

Age: Neonate

9 days of age


Right upper lobe collapse and an abnormal cardiomediastinal contour with elevated cardiac apex.

10 weeks of age


At 10 weeks, there is elevation of the cardiac apex.

Case Discussion

Neonatal CXRs in a cyanotic child, demonstrate elevation of the cardiac apex, suspicious for right ventricular hypertrophy. Tetralogy of Fallot was suspected that was later confirmed on echocardiography and subsequent surgery.

Case courtesy of Bob Cook, MD. Western Memorial Regional Hospital Corner Brook, Newfoundland.

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