Informe de caso y revisión bibliográfica: Tetralogía de Fallot

Tetralogy of Fallot is the most common cyanotic congenital heart disease and requires early surgical correction, this is a case of a patient who at six months undergoes palliative pulmonary systemic bypass surgery with modified Bla-lock Taussing fistula with Goretex graft, his condition does not improve with the passing of the years and a total correction surgery must be performed. Upon admission, the patient presents: dyspnea of medium efforts, asthenia, peribucal and distal cyanosis that yield with rest; in thorax presence of infra axillary scar compatible with previous palliative surgery, heart: rhythmic R1 and R2, phonetic norm, presence of holosystolic murmur in pulmonary focus and left infraclavicular murmur of pulmonary systemic fistula. The chest radiograph shows an increase in cardiothoracic index and vascu-lar congenital and prominent hilum, transthoracic pre-surgical echocardio-graphy is performed where infundibular stenosis is observed due to severe myocardial hypertrophy, maximum gradient of 90 mm / Hg.Tetralogy of Total Fall correction surgery after previous palliative procedures, with transoperative transesophageal echocardiogram control, improves the patient’s quality of life