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Tetralogy of Fallot and tracheoesophageal fistula

Case contributed by Frank Gaillard
Diagnosis almost certain

Patient Data

Age: Neonate

Neonate with "boot-shaped" heart  consistent with subsequently proven tetralogy of Fallot.

Nasogastric tube is coiled in proximal esophagus, transparency of esophagus is interrupted on lateral view, and distal esophagus apparently connected to trachea by continuous lucency that represents tracheoesophageal fistula.

Case Discussion

Tetralogy of Fallot is frequently associated with other cardiovascular and non-cardiovascular anomalies, including presence of a tracheoesophageal fistula.

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