Adult case of tetralogy of Fallot associated with atrioventricular septal defect

Gen Thorac Cardiovasc Surg. 2021 Feb;69(2):360-363. doi: 10.1007/s11748-020-01467-3. Epub 2020 Aug 20.


The patient was a 28-year-old woman who was misdiagnosed with tetralogy of Fallot and straddling mitral valve after birth. She underwent a left modified Blalock-Taussig shunt at the age of 1 year. At age 28, she presented with fatigue and progressive cyanosis. Finally, she was diagnosed with tetralogy of Fallot and complete atrioventricular septal defect. To measure the exact biventricular volumes, we performed cardiac magnetic resonance imaging in addition to cardiac angiography and ensured adequate volume capacity. We eventually decided to perform biventricular repair. Her postoperative course was uneventful, and she returned to full-time work.

Keywords: Biventricular repair; Cardiac magnetic resonance imaging; Complete atrioventricular septal defect; Straddling mitral valve; Tetralogy of Fallot.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Cardiac Surgical Procedures*
  • Female
  • Heart Septal Defects* / diagnostic imaging
  • Heart Septal Defects* / surgery
  • Humans
  • Tetralogy of Fallot* / diagnostic imaging
  • Tetralogy of Fallot* / surgery
  • Treatment Outcome

Supplementary concepts

  • Atrioventricular Septal Defect