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June 14, 1976

Pregnancies After Surgical Correction of Tetralogy of Fallot

Author Affiliations

From the Division of Cardiovascular Diseases, University of Kansas Medical Center, College of Health Science Hospital, Kansas City. Dr Ralstin is now with Ohio State University Hospital, Columbus.

JAMA. 1976;235(24):2627-2628. doi:10.1001/jama.1976.03260500043029

A PATIENT had successful correction of the tetralogy of Fallot and then had five pregnancies without incident.

Report of a Case  A 34-year-old housewife was first noted to have decreased exercise tolerance, exertional squatting, and cyanosis at the age of 2 years, when she began walking. By 6 years of age, her symptoms were severe, and at the age of 10 years her education was terminated because she was unable to climb stairs at school. She remained sedentary at home until her late teens, when her condition had improved enough for her to work part-time as a waitress. At the age of 23, she was admitted to the University of Kansas Medical Center because of progressively decreasing exercise tolerance.She was 157 cm tall, and weighed 60 kg. She was cyanotic and had clubbing of fingers and toes. A grade III/IV pulmonary systolic ejection murmur and only an aortic component