A 32-year-old woman with repaired Tetralogy of Fallot, who recently collapsed after briskly ascending a flight of stairs, was brought to ED. Following workup was done but each test failed to demonstrate a clear cause Computed tomography to rule out pulmonary embolism, Echocardiography to exclude valvular stenosis Stress test to rule out coronary ischemia PMH and PSH During the first year of her birth, the patient underwent a palliative shunt procedure and then a complete repair, including patch repair of the ventricular septal defect and resection of the subpulmonic obstruction when she was 4 years old. The latter required the use of a fairly large outflow tract patch.
As a result, she developed significant regurgitation of the pulmonic valve. As a teenager, she also experienced minor rhythm disturbances that were corrected following an ablation procedure. She had been doing well for…
