Tetralogy of Fallot

Case contributed by Allam Harfoush
Diagnosis almost certain

Presentation

Dyspnea, bluish coloration of the lips, palpitation and general weakness

Patient Data

Age: 10 Years
Gender: Female
ultrasound

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 stabilization.

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