Tetralolgy Of Fallot

Your Path

  • Tetralolgy of Fallot


  • Congenital VSD
  • RV hypertophy
  • Sub-pulmonary stenosis
  • Aorta that over-rides the VSD
  • Results in cyanotic heart dz at young age

Risk Factors

  • Down's synd


  • Endocarditis
  • Very rare to present in adulthood in developed world
  • Profound sob and DOE
  • Paradoxical emboli→ cerebral abscess or stroke

Physical Exam Findings

  • Cyanosis
  • Clubbing
  • Systolic murmur along sternal border
  • Other findings CHF
  • Findings of endocarditis if clinical sx
  • Findings polycythemia