Tetralogy of Fallot with an Additional VSD, Good Nakata Index, and Abnormal Course of the Coronary Artery

  • Hakimeh Sadeghian
  • Zahra Savand-Roomi


A 38-year-old woman presented with a history of palpitation and a systolic ejection murmur at the upper left sternal border. She had given birth to two children without symptoms, and her body surface area was equal to 1.7/m2. Echocardiography revealed normal left ventricular and right ventricular sizes and systolic functions.

Supplementary material

Video 73.1

(MP4 7262 kb)


  1. 2.
    Webb GD, Smallhorn J, Therrien J, Redington AN. Congenital heart disease. In: Bonow RO, Mann D, Zipes DP, Libby P, Breunwald E, editors. Breunwarld heart disease, a text book of cardiovascular medicine. 9th ed. China: Elsevier Saunders; 2012. p. 1411–67.Google Scholar
  2. 102.
    Rudolph AM. Pulmonary stenosis and atresia with ventricular septal defect (Tetralogy of Fallot). In: Rudolph AM, editor. Congenital disease of the heart. New York: Futura Publishing Company; 2001. p. 489–549.Google Scholar
  3. 103.
    Roche SL, Greenway S, Redington AN. Tetralogy of Fallot with pulmonary stenosis and Tetralogy of Fallot with absent pulmonary valve. In: Allen HA, Driscoll D, Shaddy RE, Feltes TF, editors. Moss and Adams’ heart disease in infants, children, and adolescents. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2013. p. 969–89.Google Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • Hakimeh Sadeghian
    • 1
  • Zahra Savand-Roomi
    • 2
  1. 1.Department of EchocardiographyTehran University of Medical Sciences Tehran Heart CentreTehranIran
  2. 2.Department of EchocardiographyKowsar HospitalShirazIran

Personalised recommendations