Abstract

Tetralogy of Fallot is the commonest cyanotic congenital heart disease after the neonatal period, accounting for 10 - 26.2% of congenital heart diseases in Nigeria. Structural abnormalities found in tetralogy of fallot could explain associated adverse haemodynamic changes. It is imperative to document a case of an uncorrected tetralogy of Fallot with pulmonary atresia in a 35-year old Nigerian African man, considering the associated poor/high morbidity and mortality. Explanations for his longevity are left ventricular hypertrophy and systemic-pulmonary collateral circulation.

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