Presentation
Dyspnoea, bluish colouration of the lips, palpitation and general weakness
Patient Data




Hypokinetic left ventricle
A 10 mm ventricular septal defect (VSD)
Aortic override over the septum
Supravalvar pulmonary stenosis
Right ventricle dilation and hypertrophy
D-shape on short-axis view
Right atrium spontaneous echo contrast
Case Discussion
Tetralogy of Fallot is a rare condition caused by a combination of congenital heart defects that includes: 1-Ventricular septal defect 2- Overriding of the aorta 3- Right ventricular outflow tract obstruction 4-Hypertrophy of the right ventricle.
This patient was treated with oxygen, diuretics, digitalis and then transferred to cardiothorathic surgery after stabilisation.