A forty year-survivor of TF with PA and chronic pediatric shunt thrombosis

What is it about?

we illustrate a rare case of Tetralogy of Fallot (TOF) with pulmonary atresia in a 40-year-old survivor patient, despite a chronic pediatric shunt thrombosis.

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Why is it important?

Untreated pulmonary atresia with a ventricular septal defect is uncommon in adults. Most patients die from serious respiratory troubles or congestive cardiac failure very early. An angiography CT scan is the main imaging tool to delineate the pulmonary arterial supply, which is essential for an appropriate surgical approach.