Tetralogy of fallot and aortic coarctation. A rare association

Tetralogy of Fallot and Aortic Coarctation.A Rare Association Case ReportA two-year-old child with tetralogy of Fallot (TF) associated with coarctation of the aorta (CoAo) was referred to our institution for investigation of a cardiac murmur and cyanosis that had existed since the child's first days of life.In the physical examination, arterial hypertension in the upper limbs and reduction of pulses in the lower limbs were detected.The laboratory examinations confirmed the diagnosis of TF and CoAo.The patient underwent surgery for total correction and had a good clinical outcome.Tetralogy of Fallot (TF) is considered the most common cyanotic malformation, with an incidence of 9.7% of all congenital heart disease 1 .It consists of a defect of the ventricular septum, pulmonary stenosis, dextroposition of the aorta, and right ventricular (RV) hypertrophy, which is secondary to its main characteristic, the anterior deviation of the infundibular septum.Coarctation of the aorta (CoAo) is also a common cardiovascular malformation, responsible for 5% to 8% of all congenital heart diseases 2,3 .The classical clinical signs include hypertension in the upper limbs with a difference in pulse and pressure in relation to the lower limbs, and cardiac murmur.The association of these two anomalies is rare.Few cases have been reported in the literature 4,5 ; therefore, this case has special interest.

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