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CASE REPORT
Year : 2019  |  Volume : 22  |  Issue : 3  |  Page : 149-152

Management of tetralogy of Fallot with Blalock–Taussig shunt alone in a low-resource setting


1 Department of Medicine, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
2 Department of Surgery, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria

Correspondence Address:
Dr. Ehi Judith Ogbemudia
Department of Medicine, University of Benin Teaching Hospital, Benin City, Edo State
Nigeria
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DOI: 10.4103/smj.smj_22_18

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The outcomes of management of Tetralogy of Fallot (TOF) in children with only BT shunts have not been widely reported. Therefore, we present a 29-year-old man with complaints of progressive easy fatigability and effort intolerance. He was diagnosed with TOF in infancy and had both left- and right-sided BT shunts without corrective surgery. Examination revealed an asthenic young man with conjunctival plethora, cyanosis, digital clubbing, and hypertension. Chest X-ray, electrocardiography, and echocardiography revealed the typical anomalies of TOF. He has been referred for corrective surgery. Despite two previous BT shunts, the investigations still revealed the structural anomalies of TOF; this confirms BT shunt is not the definitive treatment but a palliative measure. Total corrective surgery remains the definitive treatment of TOF. Patients and their caregivers should be counseled on this and on the need for early corrective surgery.


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