Fall, 2014

The patient’s examination and findings are consistent with Tetrology of Fallot. He has moderate to severe right ventricular outflow tract obstruction at both subvalvar and valvar levels. At one month of age, he began having episodes of pallar and diaphoresis. With concern for changes to come, it was discussed to have surgery repair late September or early October.

Post op:
The four month old infant with TOF s/p repair late September did well postoperatively. It was decided to place a patch closure on the ventricular septum, and perform a pulmonary valvotomy. There was a tiny residual ventricular septal defect, with normal systolic function. Also there was mild pulmonary valve insufficiency and stenosis.