Management in Fallot Tetralogy associated with Congenital Scoliosis Case Report

Tetralogy of Fallot is the most common congenital heart malformation that produces cyanosis. It consists of four different defects of the heart: ventricular septal defect, pulmonary artery stenosis (blockage of blood flow from the right ventricle to the lungs), right ventricle hypertrophy and dextroposition of aorta. Echocardiography is essential in establishing the diagnosis of patients with cardiac malformation. Patients with Fallot tetralogy present a higher frequency of major non-cardiac congenital disorders. The association with congenital scoliosis influences vital and functional overcomes, restricting physical activity and lowering life expectancy. The author presents therapeutic management on the clinical case of a 13-year-old child with Fallot tetralogy and congenital scoliosis. Therapeutic management of both illnesses consisted in serial surgical interventions as it follows: first time at the age of six years, cardiac malformation was solved, and later, at the age of 13 years the correction of spinal deformity was performed.