TETRALOGY OF FALLOT: REPORT OF TWO CASES IN OUTPATIENT PRACTICE

Abstract

Tetralogy of Fallot or Tetras Fallot is a congenital heart disease with cyanosis, which involves four associated anomalies of the heart. As physicians in primary health care of children, we treat and monitor the growth and development of children at risk with special attention. Among them are also the children with tetralogy of Fallot. The aim of this report was to present and compare postnatal status of two children with tetralogy of Fallot. We presented the girl and a boy, approximately the same age, operated at the same surgical clinic. Both patients were without hereditary load. The girl had a milder clinical course without complications. The boy had associated anomalies, cerebrovascular insult, and a reoperation. After complete surgical correction of congenital heart disease, both children are progressing and developing within the normal range for age. ECG of both children showed the signs of right bundle branch block. Our mission is to continue to closely monitor these children and react in case of complications or worsening of recent findings.

Key words: Tetralogy of Fallot, postnatal course, pediatric patient, outpatient care