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furosemide for tetralogy of fallot

The patient was weaned from cardiopu Tetralogy of Fallot occurs during the development of the fetus, before birth, and is therefore termed a congenital birth defect. This common congenital anomaly continues to strike debate, highlighting complexities surrounding optimizing management. The unintentional section of these arteries is followed by a high mortality. Patients might have one or both surgeries in their lifetime. 27. Administer some furosemide (12 mg/kg) to lower preload or for pulmonary edema. Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. furosemide 40 mg BID, ator-vastatin 20 mg daily, aspirin 81 mg daily, benazepril 10 mg daily, and metoprolol tartrate 25 mg BID. Pulmonary regurgitation (PR) is the major long-term issue in adults after TOF repair [].However, few patients have both PR and rheumatic stenosis after repaired TOF, and cases of patients who underwent both pulmonary valve Tetralogy of Fallot is the most common heart defect in children. In cases of a food crisis. 35. Collateral circulation was blocked and total correction was successfully performed in our "one-stop" hybrid operation room. Tetralogy of Fallot. Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease (CHD) and consists of ventricular septal defect (VSD), right ventricular outflow tract obstruction, an overriding aorta and right ventricular hypertrophy. More. We present the case of a 3-month-old girl who had unrepaired Tetralogy of Fallot who presented to the emergency department with an acute hypoxic episode. Tetralogy of Fallot (TOF), named after Dr. Etienne Fallot, is a deadly congenital cardiac condition if it is not corrected. Despite most patients now surviving well into adulthood, morbidity and mortality rates continue to be high. Invited Commentary: Schulte and colleagues have presented their 14-year evolution of management of the pulmonary valve in patients undergoing repair of tetralogy of Fallot [1]. Tetralogy of Fallot Repair. Tetralogy of Fallot is treated with two kinds of surgery. Tetralogy of Fallot NCLEX Review and Nursing Care Plans. d. Bronchopneumonia, upper respiratory infections and pneumonia were the most commonly diagnosed comorbidities accounting for over 35% of non-cardiac sequalae based on antibiotic and diuretic use. spironolactone, captopril, and furosemide was started. Up to 25% of patients also have pulmonic stenosis. One provides temporary improvement by a shunt to give more blood flow to the lungs. The infant was started on propranolol 2 mg/kg/day and furosemide 2 mg/kg/day in three divided doses and was advised admission for an emergency modified BlalockTaussig shunt and further management. Tetralogy of Fallot (ToF) is the most frequent complex congenital heart defect in ALGS, present in 11% of cases [4, 5]. Treatments. Tetralogy of Fallot is treated with two kinds of surgery. Tetralogy of Fallot (ToF) is a cyanotic congenital heart disease characterized by four key defects: Pulmonary stenosis A narrowing of the pulmonary valve and outflow tract means the heart has to work harder to eject blood into the pulmonary artery and blood flow to the lungs is reduced. Acute Kidney Injury/drug therapy* Acute Kidney Injury/etiology If the baby is too small, there may be two surgical procedures. A young child with tetralogy of Fallot may assume a posturing position as a compensatory mechanism. A doctor might hear an abnormal whooshing sound (heart murmur) when listening to the baby's heart with a stethoscope. Tetralogy of Fallot (ToF) is the most common cyanotic congenital heart disease affecting approximately 1660 infants in the United States each year. DISCUSSION Subcostal view and parasternal long axis view showing the typical tetralogy of Tetralogy of Fallot is the most common cyanotic congenital heart defect consisting of an overriding aorta, right ventricular outflow obstruction, ventricular septal defect, and right ventricular hypertrophy. The surgeries to be included will be the tetralogy of Fallot, transposition of the great arteries, ventricular septal defect, atrial septal defect and the atrioventricular canal defect. The following are the four cardiac defects linked to TOF: Common cyanotic defects include tetralogy of Fallot and transposition of the great vessels. One provides temporary improvement by a shunt to give more blood flow to the lungs. What is tetralogy of Fallot? Nonetheless, cardiovascular morbidity remains substantial and includes an increased risk for life-threatening ventricular tachyarrhythmias and sudden death. DISCUSSION Subcostal view and parasternal long axis view showing the typical tetralogy of In tetralogy of Fallot ( TOF ), four related heart defects change the way blood flows to the lungs and through the heart. Your differential for cyanotic heart disease includes the 5 Terrible Ts: tetralogy of Fallot, transposition of the great vessels, total anomalous pulmonary venous return, tricuspid atresia, and truncus arteriosus. It is slightly more common among males. The infants k level is 3.1. which medication is likely decreasing his k level- Lasix 58. b. furosemide. Tetralogy of Fallot Definition-Tetralogy of Fallot (teh-TRAL-uh-jee of fuh-LOW) is a rare condition caused by a combination of four heart defects that are present at birth Primary complete repair f. elective repair Pharmacological Management a. diuretics (furosemide [Lasix]), b. digoxin c. afterload reduction (captopril). Learn about diagnosis, specialist referrals, and treatments for Tetralogy of fallot and glaucoma. VA performed the endovascular procedure and was a major contributor in writing the manuscript. Fig. Tetralogy of Fallot (TOF) with pulmonary stenosis is the common form of tetralogy of Fallot, and it is the focus of this article. 1. He is receiving Aldactone, enalapril, furosemide, and Tylenol. 8. The study found that the aortic root is enlarged in unrepaired tetralogy of Fallot irrespective of age, increased in the first 36 months after palliative shunt surgery, and persisted into adulthood in those repaired after 1 year of age. Surgical and percutaneous pulmonary valve replacement are procedures that are performed to prevent long-term complications from occurring. We recently launched the new GARD website and are still developing specific pages. The right ventricular obstruction is usually secondary to hypertrophy of the subpulmonic muscle. Some infants need more than one heart surgery. Diuretics, such as furosemide, may be used to promote diuresis. Tetralogy of Fallot may be complicated by significant biventricular dysfunction 1 that, when present, is associated with an increased risk of sudden death. 1, 2 The first cardiac repair of TOF was successfully performed in 1955 in the United States and in 1965 in Taiwan. I read that TOF affects growth so I'm wondering when I will get taller or how tall I will be. 16. Explore Tetralogy of Fallot Repair. The defects occur together and change the way blood flows through the heart and lungs. d. Ibuprofen Answer a. Diphenhydramine Diphenhydramine is an This is called backflow or regurgitation (re-GUR-ji-TA-shun), and it can lead to symptoms and complications. The most frequent problem that occurs after tetralogy of Fallot repair is pulmonary backflow, or leaking from the pulmonary valve. Backflow from the tricuspid valve and aortic valve also can occur. We report a 45 year-old Chinese woman with tetralogy of fallot that had two aortopulmonary collateral arteries and tricuspid regurgitation. Currently, survival into the fourth or fifth decade after repair of tetralogy of Fallot (TOF) is common owing to advancements in the surgical and medical management. 2 This patient demonstrated dramatic symptomatic and physiological improvement, which suggests that this technique may be of benefit in carefully selected patients. Tetralogy of Fallot. Tetralogy of Fallot (TOF) is the most common cyanotic heart defect, occurring in approximately 400 per million live births and the most common cause of blue baby syndrome. My male relatives are generally tall, for example, my grandpa is 6'3-6'4 so I'm wondering if that has any effect on my height too. The infant was started on propranolol 2 mg/kg/day and furosemide 2 mg/kg/day in three divided doses and was advised admission for an emergency modified BlalockTaussig shunt and further management. [High dose furosemide for treatment of acute renal failure following radical operation of tetralogy of Fallot]. Cardiac Tetralogy of Fallot in a 71-year-old patient with new onset hypoxemia. furosemide 40 mg BID, ator-vastatin 20 mg daily, aspirin 81 mg daily, benazepril 10 mg daily, and metoprolol tartrate 25 mg BID. We would like to hear your feedback as we continue to refine this new version of the GARD website. Its cause is thought to be due to environmental or genetic factors or a combination. At that time, treatment was limited to furosemide, bisoprolol and clonidine. People with tetralogy of Fallot are more likely to also have other congenital defects. Thank you for visiting the new GARD website. This page is currently unavailable. A single dose of intranasal fentanyl was administered with subsequent INTRODUCTION Tetralogy of Fallot (TOF) includes the following major features (): Right ventricular (RV) outflow tract obstruction Ventricular septal defect (VSD) Deviation of the origin of the aorta to the right so that it overrides the VSD Concentric RV hypertrophy TOF accounts for approximately 7 to 10 percent of all cases of congenital heart Tetrology of Fallot usually consists of right ventricular obstruction, right ventricular hypertrophy, and a VSD with an over-riding aorta. D The nurse checks the dose; 4 mL of the drug is to be drawn up. Patients will receive continuous infusion of furosemide (0.5-1 mg / kg / 6 hours) within the first 24-48 hours postoperatively. Tetralogy of Fallot (TOF) is a serious congenital heart defect affecting about two in 10,000 babies. 1 Introduction. Tetralogy of Fallot (TOF) is a combination of four congenital (present at birth) heart defects that affect infants and children. Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. It is the most common cyanotic heart defect with an incidence of 3.26 per 10,000 live births (Keane). Cathet Cardiovasc Diagn 1993;28:335-8. INTRODUCTION. If you need help finding information about a disease, please Contact Us. Tetralogy of Fallot (fah-LO) is a congenital (present at birth) heart defect. She was treated with furosemide, spironolactone, warfarin, and L-thyroxine. You may see this referred to as right ventricular outflow tract (RVOT) In 73 patients, undergoing palliative surgery, the operative mortality and late mortality was 6.8%. The post-op Tetralogy of Fallot clinical pathway is designed to assist clinicians in treating patients with Tetralogy of Fallot post-operatively in an inpatient setting by standardizing care. Overriding aorta is one of the four features that make up the congenital (from birth) heart problem called tetralogy of Fallot. Chin J, Bashour T, Kabbani S. Tetralogy of Fallot in the Tetralogy of Fallot involves four heart malfunctions that occur together: pulmonary stenosis (narrowing of the hearts pulmonary valve), a ventricular septal defect, an overriding aorta (a defective connection between the aorta and the heart) and right ventricular hypertrophy (thickening of the ventricle wall). Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease, with an incidence of 0.200.63 per 1000 live births. Tetralogy of Fallot is rare, but it is the most common form of cyanotic congenital heart disease. Objective: To make a historical comparison on the long-term psychosocial outcome of cardiothoracic surgery during childhood. Diagnosis. Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease, with an incidence of 0.200.63 per 1000 live births. 2 Surgical repair with the Blalock Furosemide (Lasix) View full drug information; Patients with a minimal degree of right ventricular outflow tract obstruction may show signs and symptoms of pulmonary overcirculation. Invited Commentary: Schulte and colleagues have presented their 14-year evolution of management of the pulmonary valve in patients undergoing repair of tetralogy of Fallot [1]. Methods: Adult patients operated for tetralogy of Fallot or transposition of the great arteries between 1980 and 1990 (recent sample) were compared with patients who underwent surgery and were investigated 10 years earlier Although it has been five decades since the original report on the surgical repair of tetralogy of Fallot , the optimal management strategy and its timing remain a matter of debate.In the current era, primary surgical correction in infants continues to gain increasing acceptance ; however, initial palliation followed by repair still remains favored by Your aorta is supposed to be above the left side of your heart so it can take oxygen-rich blood to your body. BAE: Bronchial artery embolization; TOF: Tetralogy of Fallot; HRCT: High resolu-tion computed tomography. Tetralogy of Fallot Sifat khusus adalah terdapat sianosis, aliran darah dari paru berkurang dan shunt pada daerah ventrikel. 3, 4 Advances in perioperative care have increased the survival after total correction to Tetralogy of Fallot (TOF) with absent pulmonary valve is a rare congenital anomaly characterized by features of tetralogy of Fallot with either rudimentary ridges or the complete absence of pulmonic valve tissue. Anomalous coronary arteries crossing the outflow tract of the right ventricle in tetralogy of Fallot have a prominent surgical importance in total correction. Only a few patients reach adulthood without surgical correction. Hepatitis and HIV screens were negative, al-though the patient had a record of HCV infection in the It is slightly more common among males. 9 The nurse is preparing to give digoxin (Lanoxin) to a 9-month-old infant. Usually, tetralogy of Fallot is diagnosed soon after birth. This common congenital anomaly continues to strike debate, highlighting complexities surrounding optimizing management. INTRODUCTION. Tetralogy of Fallot involves four defects that include pulmonic stenosis, ventricular septal defect, right ventricular hypertrophy, and an aorta that overrides the ventricular septal defect. Tetralogy of Fallot causes cyanosis; therefore, the body responds by increasing RBC production (polycythemia) in an attempt to supply oxygen to all body parts. He was started on stress-dose hydrocortisone and furosemide infusion and showed a dramatic diuretic response, which permitted removal of the sternal stent on postoperative day 2 and delayed sternal closure on postoperative day 3. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy As part of the treatment for congestive heart failure, the child takes the diuretic furosemide. 1, 2 The first cardiac repair of TOF was successfully performed in 1955 in the United States and in 1965 in Taiwan. Nephrotic syndrome is an uncommon complication of tetralogy of Fallot and has been rarely reported in pediatric population. The other is a complete repair of the two most important abnormalities that make up tetralogy of Fallot. Some infants with mild obstruction may never be blue (pink Tets) and may have signs of too much blood flow to the lungs (rapid breathing, poor feeding, and slow weight gain), much like an infant with only a ven-tricular septal defect. Between 1974 and 1983, 380 consecutive patients with tetralogy of Fallot underwent surgery. Furosemide, Spironolakton, KSR. TOF - Tetralogy of Fallot. She presented with sudden hypertensive attack, and was diagnosed with pheochromocy-toma of the left adrenal gland. 1 First described by Etienne-Louis Fallot in 1888, ToF consists of right ventricular (RV) hypertrophy, a ventricular septal defect (VSD), RV outflow tract obstruction, and an overriding aorta. 7-TETRALOGY OF FALLOT C-DPBF Normal Heart for comparison: What are the 4 anomalies associated with the Tetralogy of Fallot? Tests to diagnose tetralogy of Fallot include: Oxygen level measurement (pulse oximetry). Learn more. Praveen Kumar Neema, MD, Soman Rema Krishnamanohar, Mch, and Ramesh Chandra Rathod, MD, DA HE COMMON ANOMALIES associated with tetralogy of Fallot (TOF) are patent ductus arteriosus, multiple ventricular septal defects (VSDs), and atrioventricular canal defect.1 The association of total anomalous pulmonary venous connection (TAPVC) with TOF It occurs slightly more often in males than in females. spironolactone, captopril, and furosemide was started. GI signs are the common noncardiac adverse effect and are more common in cats, especially with sustained-release preparations. 16); compare left panel with normal anatomy on the right). All abnormalities were compatible with a tetralogy of Fallot (TOF). The study found that the aortic root is enlarged in unrepaired tetralogy of Fallot irrespective of age, increased in the first 36 months after palliative shunt surgery, and persisted into adulthood in those repaired after 1 year of age. Methods: Twelve children with ventricular septal defect (VSD) treated with furosemide, and 10 children with tetralogy of Fallot (TOF) referred for corrective surgery were consecutively enrolled into a prospective study. Nonetheless, cardiovascular morbidity remains substantial and includes an increased risk for life-threatening ventricular tachyarrhythmias and sudden death. [Article in Japanese] Kidani M, Endo M, Shimizu J, Sato H, Noto T. PMID: 6748416 [PubMed - indexed for MEDLINE] Publication Types: Case Reports; English Abstract; MeSH Terms. BAE: Bronchial artery embolization; TOF: Tetralogy of Fallot; HRCT: High resolu-tion computed tomography. Tetralogy of Fallot digambarkan dengan 4 kelainan yaitu stenosis pulmonal, VSD, hipertrofi ventrikel kanan, dan dekstroposisi aorta pada sekat ventrikel. The other is a complete repair of the two most important abnormalities that make up tetralogy of Fallot. INTRODUCTION. Arrhythmias linked to tetralogy of Fallot include ventricular tachycardia, atrial fibrillation, and atrial flutter. For more information, see "Types of Arrhythmia." It is a spectrum of disease, where the severity of pulmonary stenosis can dictate which direction blood is shunted across the VSD. Author contributions JK collected and interpreted the patient data, including the clinical and imaging details. Acknowledgements Not applicable. Several medications may be used to medically manage TOF. Tetralogy of Fallot is the most common cyanotic congenital heart defect, accounting for 10% of all CHD. The position automatically assumed by the child is Furosemide is not an ACE inhibitor. Dr. B. L. Kapur Memorial Hospital (A Unit of Lahore Hospital Society) Pusa Road, New Delhi India -110005; 24 Hrs Helpline: +91-11-30403040 ; Email-info@blkhospital.com New Patient Appointment or 214-748-2583. Tetralogy of Fallot (TOF) is a group of four congenital (present at birth) heart defects that occur together: Pulmonary stenosis (narrowed pulmonary valve) Ventricular septal defect (hole in the wall between the hearts lower chambers) Overriding aorta (aortic valve positioned halfway between the two ventricles) 33. UT Southwestern Medical Center, one of the top cardiothoracic surgery centers in the U.S., offers advanced open-heart surgery to repair the cardiac abnormalities associated with tetralogy of Fallot (TOF). Tetralogy of Fallot (ToF, a Congestive Heart Disease defect) Report Upon Admission Furosemide- Lasix can deplete potassium, sodium, and electrolyte stores. 3, 4 Advances in perioperative care have increased the survival after total correction to Patients might have one or both surgeries in their lifetime. We report a 45 year-old Chinese woman with tetralogy of fallot that had two aortopulmonary collateral arteries and tricuspid regurgitation. In the period between 1977 Case 1 was a 45-year-old woman with a history of radical operation for tetralogy of Fallot at 20years of age. Tetralogy of Fallot, was the most common complex CHD accounting for 25.5% (13) of cases. A major aortopulmonary collateral artery is a rare and easily missed diagnosis that is usually associated with Tetralogy of Fallot or pulmonary atresia. Tetralogy of Fallot, the most frequent complex congenital heart defect in Alagille Syndrome, very rarely leads to renal failure requiring dialysis there are only single reports of such cases in the literature, with none of them in Alagille Syndrome. The dose range of furosemide was between 1 and 3 mg/ kg per day divided 1 to 3 times per day and was administered orally in all cases. DISCUSSION Subcostal view and parasternal long axis view showing the typical tetralogy of The first total repair of tetralogy of Fallot was done by a team led by C. Walton Lillehei at the University of Minnesota in 1954 on an 11-year-old boy. The patient was hyperpneic and cyanotic, with an initial oxygen saturation of 56%. It occurs equally as often in males and females. Ari Michael Cedars, M.D. Tetralogy of Fallot (TOF) is a congenital cardiac malformation. Tetralogy of Fallot (ToF) Tetralogy of Fallot can be thought of as a very large VSD with some pulmonary stenosis. The cause of most congenital heart defects is unknown. The specific medication or combination of medications used depends on the childs phsyiology. TOF is repaired through open-heart surgery soon after birth or later in infancy. Tetralogy of Fallot is the most common cyanotic congenital heart defect consisting of an overriding aorta, right ventricular outflow obstruction, ventricular septal defect, and right ventricular hypertrophy. Most patients were concurrently taking spironolactone 1 to 2 mg/kg per day divided 1 or 2 times daily. spironolactone, captopril, and furosemide was started. Tetralogy of Fallot is a structural heart anomaly characterized clinically by cyanosis, and anatomically by an obstructed right ventricular outflow tract associated with a ventricular septal defect (see Fig. Many factors seem to be involved. Its also known as tetra, which refers to the four issues associated with it. ToF is caused by anterosuperior displacement of treatment was limited to furosemide, bisoprolol and clo-nidine. Collateral circulation was blocked and total correction was successfully performed in our "one-stop" hybrid operation room. Your aorta is supposed to be above the left side of your heart so it can take oxygen-rich blood to your body. Tetralogy of Fallot (TOF) is a cardiac anomaly that refers to a combination of four related heart defects that commonly occur together. Reactions 1626, p84 - 5 Nov 2016 Cholelithiasis leading to type I Mirizzi syndrome: case report A 3-year-old boy developed cholelithiasis following therapy with furosemide [dosage, route, indication and duration of therapy to reaction onset not stated]; subsequently, he developed type I Mirizzi syndrome (MS). 3, 4 Advances in perioperative care have increased the survival after total correction to The boy, who had a history of oesophageal atresia and tetralogy Management of a hypercyanotic spell consists of calming the child and manoeuvres to increase the amount of blood exiting the right ventricle to the pulmonary vasculature instead of to the aorta. She did not respond to knee-to-chest positioning. Insulin was applied subcutaneously four times a day. The following day, the hematocrit decreased 11% and the respiratory distress improved. Diltiazem is often used in combination with other drugs commonly used to treat heart disease and heart failure, including ACE inhibitors, furosemide, spironolactone, and pimobendan. OBrien and Marshall Tetralogy of Fallot e27 first appear at several months of age. TOF occurs in about 1 out of every 2,518 babies born in the U.S. each year. The defects usually are corrected during a single operation done when the baby is about 6 months old unless the baby has inadequate oxygen. A relatively large aorta that straddle the hole (Overriding Aorta) 3. Dr. B. L. Kapur Memorial Hospital (A Unit of Lahore Hospital Society) Pusa Road, New Delhi India -110005; 24 Hrs Helpline: +91-11-30403040 ; Email-info@blkhospital.com We describe a 4-year-old female Congolese child who was referred for investigation for persistent dyspnea, edema, and cyanosis and nephrotic range proteinuria. Twenty-five of these patients have undergone subsequent complete repair, while 38 are awaiting correction. Tetralogy of Fallot (TOF) represents 57% of all congenital cardiac lesions and is the most common form of cyanotic congenital heart disease. Tetralogy of Fallot is the most common congenital cyanotic heart disease, it accounts for 7% to 10% of congenital defects, affecting males and females equally and occurring in 3 to 5 of every 10,000 live births [].It is essentially created by anterior and superior deviation of the conal septum and manifested in a group of anatomical malformations with four All the mg lasix furosemide 20 five negative endpoints occurs (hypoten- sion, co, pcwp, ra pressure, at times most conducive to ethical discourse. Tetralogy of Fallot can be treated by surgery soon after the baby is born. During surgery, doctors widen or replace the pulmonary valve and enlarge the passage to the pulmonary artery. They also will place a patch over the ventricular septal defect to close the hole between the two lower chambers of the heart. Cardiac Procedures and Surgeries | American Heart Association Tetralogy of Fallot (TOF) is the most common form of cyanotic congenital heart disease, with an incidence of 0.200.63 per 1000 live births. In TOF, a set of four abnormalities in the hearts anatomy prevent enough oxygen-poor (blue) blood from flowing to the lungs to receive oxygen. Propranolol (Inderal) is a beta-blocker that may be used to prevent or treat hypercyanotic spells and to treat arrhythmias. Often the best place for the infant is in the mother's arms. Although major advances have been made in the field of cardiac surgery for Tetralogy of Fallot (TOF), inadequate myocardial protection may remain a Clinical data persistent source of mortality and morbidity associated The pre-, intra- and post-operative relevant data of all with surgery for TOF [19]. The Tetralogy of Fallot defect consists of a combination of lesions that make up 10% of all congenital heart defects. 1. We herein report a 34-year-old woman born with tetralogy of Fallot who had undergone 5 cardiac repair procedures. Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart disease. We report two cases of pheochromocytoma combined with tetralogy of Fallot who showed different clinical courses. Author contributions JK collected and interpreted the patient data, including the clinical and imaging details. The key morphological abnormality is anterior and cephalad deviation of the muscular outlet of the ventricular septum, which causes the 4 classic findings: (1) a mal-alignment ventricular septal defect (VSD), (2) aorta over-riding the VSD, (3) right ventricular outflow tract obstruction, (4) He had been taking 0.125 mg digitalis and 40 mg furosemide daily. 1, 2 The first cardiac repair of TOF was successfully performed in 1955 in the United States and in 1965 in Taiwan. 32 Randomized to furosemide 32 Randomized to PD 9 Supplemental patients for PD 31 Completed furosemide regimen 26 Successful dialysis 6 Successful dialysis 32 Included in analysis of Tetralogy of Fallot repair 10 Not listed Tetralogy of Tetralogy of Fallot - Diagnosis & Treatment - Genetic and Rare Diseases Information Center. Furosemide c. Amoxicillin. Your baby's skin may appear blue. Acknowledgements Not applicable. Which of the following structural defects constitute tetralogy of Fallot? My name is Evan, I'm 13 years old and I'm 4'8. A large hole between the ventricles (Ventricular Septal Defect-VSD) 2. VA performed the endovascular procedure and was a major contributor in writing the manuscript. Overriding aorta is one of the four features that make up the congenital (from birth) heart problem called tetralogy of Fallot. We newly added furosemide, spironolactone, digoxin and low molecular weight heparin (LMWH) for prevention of pulmonary thromboembolism. Tetralogy of Fallot (TOF) is the most common cyanotic congenital heart defect [].The number of adults with a repaired TOF is large. As a treatment plan, a phlebotomy was performed and the ferret was posteriorly maintained with oxygen and fluid therapy. Currently, survival into the fourth or fifth decade after repair of tetralogy of Fallot (TOF) is common owing to advancements in the surgical and medical management. d. isoproterenol. Typical Length of Stay: A patient usually stays in the hospital for 6 days following repair of tetralogy of Fallot.