Abstract
A 12 year old boy presented with history of cyanotic congenital heart disease with dyspnea on exertion since last 9 years. Patient was diagnosed as a case of Tetralogy of Fallot 5 years before he came to us and he had underwent a palliative Blalock Taussig Thomas shunt for the same. An intracardiac repair was attempted 4 years back which was abandoned due to unknown reasons. His symptoms persisted after the two procedures. On admission to our hospital a detailed echocardiogram was done that showed Tetralogy of Fallot with absent pulmonary valve with post stenotic dilatation of left pulmonary artery and an anomalous origin of right pulmonary artery from ascending aorta with a blocked B-T shunt. A high risk intracardiac repair was advised.
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