Tetralogy of Fallot with coronary artery anomaly

Patient after correction of Tetralogy of Fallot with pulmonary valve regurgitation and left pulmonary branch stenosis

Tetralogy of Fallot (ToF) is a cyanotic congenital heart disease. Almost all unoperated patients used to die before 40 years of age. Prognosis after surgical correction is good, with a 35-year survival of 85%. Surgery is carried out to close ventricular septal defect and relieve right ventricular outflow tract obstruction. Patients who have reached adulthood after earlier repair of ToF frequently develop complications such as severe pulmonary regurgitation, right ventricular outflow tract obstruction, right ventricular dilation and dysfunction, residual ventricular septal defect, left ventricular dysfunction, aortic root dilation with aortic regurgitation, endocarditis, atrial and ventricular tachycardia, sudden cardiac death. We present a patient after ToF repair with complex complications.