Background: Tetralogy of Fallot (TF) is a common congenital disease which to called pantalogy of accompanied with Atrial- Septal Defect(ASD).
Case report: A 7-year old girl with TF who underwent a reconstructive operation but soon after arrival at ICU, developed hypertension and synosis. Due to the failure of supportive measures (treatment) the patient was reported with a preoperative diagnosis of intracardiac shunt next day. Intro operative finding was indicative of reopening of ASD due to ruptured sutures. After the repairment of sutures patients hypotension, hemodynamic disturbances and synosis were subsided and patient was rescued.
Discussion: Unresolved intracardiac shunt or its occurrance as a result of ruptured sutures after FT operation may lead to hypotension or synosis. In such cases the patient must undergo both echocardiography and angiography. When diagnoisis is made the patient must be reoperated urgently.
Tetralogy of Fallot
Atrial Septal Defect
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