We study tetraquarks in large N QCD with heavy quarks, in the domain where non-relativistic quantum mechanics offers an adequate approximation. Within the regime of validity of the Born-Oppenheimer approximation, we systematically study and explicitly construct tetraquark states. At leading order in the 1/N expansion, the bound spectrum consists of free mesons, while the 1/N corrections give rise to a Born-Oppenheimer potential that can bind the mesons into tetraquarks. We find two different types of tetraquarks, each endowed with distinct color-spatial wavefunctions. These states arise in the presence of an O\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$ \\mathcal{O} $$\\end{document}(N) mass hierarchy between the quarks and the antiquarks. We provide a quantitative argument indicating that only for such a hierarchy is the ground state of the system a tetraquark. We discuss what the extrapolation of our results to realistic values of the parameters may imply for the QCD tetraquark states.
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