A Case Report of Tetralogy of Fallot Associated with Tight Lesion of the Left Anterior Descending Coronary Artery

J Kabir, R Rima, R Hassan, AMM Badruddoza, S Khatoon

A small subset of patients with TOF present later in life with unsuspected or untreated disease.
Tetralogy of Fallot in adults represents a special group with peculiar problems related to the effects
of prolonged cyanosis over the heart and other organs .Older age has been considered as incremented
risk factor for surgical mortality and long-term survival in patients with TOF. Based on this
assumption, indication for surgery after long-standing cyanosis has caused controversy. There are
few reports that studied this issue have proved some benefit in repairing adults with TOF .The
greatest benefit of complete repair at this age is the functional improvement. We report a male patient
with TOF with tight lesion of the left anterior descending coronary artery diagnosed at age 40 years
and successfully underwent total correction along with CABG. This patient was the oldest
documented in Bangladesh undergoing successful corrective surgery for TOF with CABG.