Pediatric Cardiology

, Volume 32, Issue 1, pp 117–118 | Cite as

Tetralogy of Fallot With Restrictive Ventricular Septal Defect

  • Angela McBrienEmail author
  • Richard Kirk
  • David Steven Crossland
Images in Pediatric Cardiology


We present a case of tetralogy of Fallot with progressive restriction of the ventricular septal defect (VSD) by tricuspid valve tissue. The report includes echocardiographic and catheter images of this rare complication of tetralogy of Fallot. Restriction of the VSD in tetralogy of Fallot is associated with increased surgical-related mortality.


Tetralogy of Fallot Ventricular septal defect 

Supplementary material

Video 1

Subcostal parasagittal echocardiogram demonstrating the mobile tricuspid valve tissue obstructing the VSD and turbulent flow within the RVOT. (MOV 802 kb)

Video 2

Lateral projection of the right ventricular angiogram. A narrow jet of contrast passes across the VSD. The multilevel RVOT obstruction is also demonstrated. (MOV 762 kb)


  1. 1.
    Flanagan MF, Foran RB, Van Praagh R, Jonas R, Sanders SP (1988) Tetralogy of Fallot with obstruction of the ventricular septal defect: spectrum of echocardiographic findings. J Am Coll Cardiol 11:386–395CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Angela McBrien
    • 1
    Email author
  • Richard Kirk
    • 1
  • David Steven Crossland
    • 1
  1. 1.Department of Paediatric CardiologyFreeman HospitalNewcastle upon TyneEngland, UK

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