A Rare Combination of Tetralogy of Fallot and a Complete Atrioventricular Septal Defect: A Case Report
Tetralogy of Fallot (TOF) and a complete atrioventricular septal defect—TOF-atrioventricular (AV) canal defect is a very rare complex congenital heart defect. A very high index of suspicion is crucial for making a diagnosis. AYZ is a 7-year-old male who presented with breathlessness, bluish discolor...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | International Journal of Medicine and Health Development |
| Subjects: | |
| Online Access: | https://doi.org/10.4103/ijmh.ijmh_73_24 |
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| Summary: | Tetralogy of Fallot (TOF) and a complete atrioventricular septal defect—TOF-atrioventricular (AV) canal defect is a very rare complex congenital heart defect. A very high index of suspicion is crucial for making a diagnosis. AYZ is a 7-year-old male who presented with breathlessness, bluish discoloration of the buccal mucosa, and easy tiredness. Examination showed a child in mild respiratory distress, with hyperemic conjunctiva, and saturates at 80% in room air with grade 4 finger clubbing and grade 3 ejection systolic murmur maximal at the second upper inter-space and soft second heart sound. Echocardiography showed a diagnosis of TOF-AV canal defect. The child was commenced on oral propranolol and an anti-failure regimen and is now being worked up for surgery. A very high index of suspicion is key in the early diagnosis and management of this rare complex cardiac anomaly. |
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| ISSN: | 2635-3695 2667-2863 |