Tetralogy of Fallot

Question 1

What are the typical features of Tetralogy of Fallot? (4)

Answer 1

Ventricular Septal Defect

Pulmonary Stenosis

Right Ventricular Hypertrophy

Aorta overrides VSD accepting right heart blood

Question 2

What is the most common cyanotic congenital heart disorder?

Answer 2

Tetralogy of Fallot

Question 3

What are the symptoms of Tetralogy of Fallot? (4)

Answer 3

Dyspnoea
Fatigue
Cyanosis and Hypoxia

Question 4

What are the signs of tertalogy of fallot? (6)

Answer 4

Hypoxia on Exertion with Cyanosis

Right Parasternal Heave

Systolic Ejection Murmur

Central Cyanosis

Clubbing

Squatting to improve venous return and reduce shunt

Question 5

What is the most common haematology related condition to Tetralogy of Fallot?

Answer 5

Polycythemia

Question 6

Investigations for Tetralogy of Fallot? (2)

Answer 6

ECG
CXR

Question 7

What would ECG show in Tetralogy of Fallot?

Answer 7

RV Hypertrophy with RBBB

Question 8

What would chest x ray show in Tetralogy of Fallot?

Answer 8

Boot shaped heart

Question 9

How do you treat Tetralogy of Fallot?

Answer 9

Surgery

Question 10

Name 3 complications of Tetralogy of Fallot?

Answer 10

Pulmonary Regurgitation causing RV Dilatation and Failure

RV Outflow Obstruction

LV Dysfunction