Abstract
A six year-old girl patient who is diagnosed as tetralogy of fallot with a history of recurrent respiratory tract infection during first year of life, admitted with fatigue, mild cyanosis. On physical examination mild cyanosis (SO2: 85-88 %), and a harsh grade 3 to 4/6 systolic ejection murmur was detected on the left upper sternal border. Electrocardiogram showed right axis deviation and right ventricular hypertrophy. Echocardiographic examination showed 50 % dextroposition of the aorta, subaortic non restrictive VSD with right to left shunt, pulmonary valve stenosis along with pulmonary infundibular stenosis with 76 mmHg peak systolic gradient.
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