Tetralogy of Fallot associated with supramitral ring: "Paying for a near miss".

ABSTRACT: A 13-year-old girl developed the features of congestive heart failure on day three of intracardiac repair of tetralogy of Fallot. A routine transthoracic echocardiography identified the missed supramitral ring (SMR), closely placed just above the mitral valve, the very reason for severe mitral stenosis and its implication in the present clinical deterioration. A rare association of SMR with tetralogy of Fallot may be missed narrowly because closely placed SMR can sometimes mask its hemodynamic effect when present with significant right ventricular outflow tract obstruction as in this case.

SUBMITTER: Barik R 

PROVIDER: S-EPMC6281841 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature