Tetralogy of Fallot (TOF)
Tetralogy of Fallot (TOF)
Tetralogy of Fallot (TOF)
Tetralogy of Fallot (TOF)

Tetralogy of Fallot (TOF)

Javad Al Aeme

Brief Info about Javad Al Aeme Hospital



Javad Al Aeme hospital was founded in April of the year 2000 on an area of 9645 square meters. The Hospital is located in north-east of Iran in the city of Mashhad and is determined to provide Health care to its patients, at the most exceptional level in heart and vascular care field in the country.


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They include:

  • The muscle surrounding the lower right chamber becomes overly thickened
  • A hole between the lower chambers of the heart
  • The aorta (blood vessel) lies over the hole in the lower chambers
  • An obstruction from the heart to the lungs

Echocardiography: Echocardiograms use high-pitched sound waves to take an image of the heart. Sound waves bounce off the heart and produce dynamic images that can be seen on a screen. Through this test, specialists determine if:

  • there is a ventricular septal flaw and where it's located
  • the structure of the pulmonary valve and pulmonary artery is normal
  • the right ventricle is functioning well
  • the aorta is positioned correctly
Chest X-ray: It can illustrate the structure of the heart and lungs. A usual sign of tetralogy of Fallot on an X-ray is a "boot-shaped" heart, because the right ventricle is enlarged.
Oxygen level measurement: Through this test, a small sensor will be placed on a finger or toe to measure the level of oxygen in the blood.
Cardiac catheterization: It is generally used by specialists to evaluate the structure of the heart and select the most effective surgical treatment. During this process, a thin, flexible tube is inserted into an artery in the arm, groin or neck and will be threaded up to the heart.

It highly depends on your overall health condition and the severity of the procedure you have. Undoubtedly, your activities will be limited to some extent specially if you do competitive sports. In case of suffering from leftover obstruction or leak in the pulmonary valve, you will have to avoid certain activities forever. Nonetheless, if the tetralogy has been repaired with an operation successfully, you can do your daily routine activities. There is nothing for being worry issues since your doctor will clarify them prior to the surgery.

Unfortunately, there is a high risk for endocarditis specially in kids suffering from tetralogy of Fallot. Those individuals who have undergone a valve replacement, still have a shunt or leaks around surgical patches. Accordingly, taking antibiotics before certain procedures is necessary to prevent endocarditis.

After the first complete repair, some problems may remain which require you to undergo more open-heart surgeries in the cardiac catheterization laboratory. In some cases, a procedure in which a balloon-tipped catheter is used to place an expandable stent in narrowed areas might be essential.

Naturally, the left side of the heart only pumps blood to the body and the heart's right side only pumps blood to the lungs. In an individual with tetralogy of Fallot, blood travels across the hole from the right pumping chamber to the left pumping chamber and out into the body artery. Obstruction in the pulmonary valve leading from the right ventricle to the lung artery does not allow the normal amount of blood to be pumped to the lungs. In some cases, the pulmonary valve is completely blocked.

A lot of women who have undergone this surgery previously can have successful pregnancies. Nevertheless, those women with serious residual heart problems may experience a difficult pregnancy. In general, when tetralogy of Fallot is repaired, the pregnancy risk becomes so low unless the woman deals with some side effects such as irregular heart rhythms or persistent narrowing of the pulmonary valve. Any woman who is willing to get pregnant should have a physical examination by her cardiologist in advance to make sure that the process will be completed successfully.

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