Tetralogy of fallot differential diagnosis

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Fahimeh Shojaei, M.D., Priyamvada Singh, M.B.B.S. [2], Keri Shafer, M.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]

Overview

On the basis cyanosis, tetralogy of Fallot must be differentiated from total anomalous pulmonary venous connection, tricuspid atresia, and transposition of the great vessels.

Differentiating Tetralogy of Fallot from other Diseases

Tetralogy of Fallot must be differentiated from other diseases that cause cyanosis sush as:

Differentiating tetralogy of Fallot from other diseases on the basis of cyanosis

On the basis cyanosis, tetralogy of Fallot must be differentiated from total anomalous pulmonary venous connection, tricuspid atresia, and transposition of the great vessels.

Disorders Etiology Clinical Presentation Laboratory Findings Electrocardiogram Echocardiography
Tetralogy of Fallot Multifactorial Echocardiography may show:
  • Residual VSD or ASD
  • RV outflow tract obstruction
  • Abnormal valvular anatomy
Total Anomalous Pulmonary Venous Connection Multifactorial
Tricuspid Atresia Multifactorial
  • Respiratory difficulties as nasal flaring or muscle retractions
  • Cyanosis
  • Growth retradation
  • Tall P waves indicate atrial enlargement.
  • Frontal plane QRS axis may be leftward.
Echocardiography may show
Transposition of the Great Arteries Multifactorial Echocardiography may show:

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