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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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-07-01
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| Series: | International Journal of Medicine and Health Development |
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| Online Access: | https://doi.org/10.4103/ijmh.ijmh_73_24 |
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| author | Josephat M. Chinawa Awoere T. Chinawa Jude T. Onyia Chiesonu D. Nzeduba Nonyelum C. Maduka Ogonna O. Nwankwo Samuel Agwu |
| author_facet | Josephat M. Chinawa Awoere T. Chinawa Jude T. Onyia Chiesonu D. Nzeduba Nonyelum C. Maduka Ogonna O. Nwankwo Samuel Agwu |
| author_sort | Josephat M. Chinawa |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-5beec6566af143e782f05dfe8d0e3ca6 |
| institution | Kabale University |
| issn | 2635-3695 2667-2863 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | International Journal of Medicine and Health Development |
| spelling | doaj-art-5beec6566af143e782f05dfe8d0e3ca62025-08-20T03:49:56ZengWolters Kluwer Medknow PublicationsInternational Journal of Medicine and Health Development2635-36952667-28632025-07-0130331731910.4103/ijmh.ijmh_73_24A Rare Combination of Tetralogy of Fallot and a Complete Atrioventricular Septal Defect: A Case ReportJosephat M. ChinawaAwoere T. ChinawaJude T. OnyiaChiesonu D. NzedubaNonyelum C. MadukaOgonna O. NwankwoSamuel AgwuTetralogy 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.https://doi.org/10.4103/ijmh.ijmh_73_24childrencomplete atrioventricular septal defectechocardiographyejection systolic murmurraretetralogy of fallot |
| spellingShingle | Josephat M. Chinawa Awoere T. Chinawa Jude T. Onyia Chiesonu D. Nzeduba Nonyelum C. Maduka Ogonna O. Nwankwo Samuel Agwu A Rare Combination of Tetralogy of Fallot and a Complete Atrioventricular Septal Defect: A Case Report International Journal of Medicine and Health Development children complete atrioventricular septal defect echocardiography ejection systolic murmur rare tetralogy of fallot |
| title | A Rare Combination of Tetralogy of Fallot and a Complete Atrioventricular Septal Defect: A Case Report |
| title_full | A Rare Combination of Tetralogy of Fallot and a Complete Atrioventricular Septal Defect: A Case Report |
| title_fullStr | A Rare Combination of Tetralogy of Fallot and a Complete Atrioventricular Septal Defect: A Case Report |
| title_full_unstemmed | A Rare Combination of Tetralogy of Fallot and a Complete Atrioventricular Septal Defect: A Case Report |
| title_short | A Rare Combination of Tetralogy of Fallot and a Complete Atrioventricular Septal Defect: A Case Report |
| title_sort | rare combination of tetralogy of fallot and a complete atrioventricular septal defect a case report |
| topic | children complete atrioventricular septal defect echocardiography ejection systolic murmur rare tetralogy of fallot |
| url | https://doi.org/10.4103/ijmh.ijmh_73_24 |
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