RT Book, Section A1 Bianchi, Diana W. A1 Crombleholme, Timothy M. A1 D'Alton, Mary E. A1 Malone, Fergal D. SR Print(0) ID 1106398194 T1 Tetralogy of Fallot T2 Fetology: Diagnosis and Management of the Fetal Patient, 2e YR 2015 FD 2015 PB McGraw-Hill Education PP New York, NY SN 978-0-07-144201-5 LK obgyn.mhmedical.com/content.aspx?aid=1106398194 RD 2024/03/28 AB Key PointsTetralogy of Fallot is a complex congenital cardiac malformation consisting of varying degrees of right ventricular outflow tract obstruction, ventricular septal defect, overriding aorta and right ventricular hypertrophy (although the latter is generally not present in fetal life).Prenatal diagnosis generally requires careful evaluation of cardiac outflow tracts, including discontinuity between ventricular septum and aortic outflow, as well as a relatively small pulmonary outflow.Testing for fetal karyotype and 22q11 deletion is recommended.Infants should be delivered in a controlled setting with ability to provide prostaglandin infusion and prompt pediatric cardiology availability.While initial palliation with a systemic-to-pulmonary arterial shunt may be required, many centers today perform definitive complete surgical correction within the first 6 months of life.