Skip to Content
UW Health SMPH
American Family Children's Hospital
SHARE TEXT

Tetralogy of Fallot

Tetralogy of Fallot is a condition in which a child is born with the following four different heart defects:

  • Overriding aorta. Normally the large blood vessel that carries blood to the body (aorta) receives only oxygen-rich blood from the left side of the heart. With an overriding aorta, the aorta gets blood from both lower chambers of the heart. This lets oxygen-poor blood mix with oxygen-rich blood, allowing oxygen-poor blood to flow to the body.
  • Ventricular septal defect (VSD). A ventricular septal defect is an opening in the heart wall (septum). In tetralogy of Fallot, there is a very large opening in the wall between the lower heart chambers (ventricles). This lets oxygen-poor blood mix with oxygen-rich blood, allowing oxygen-poor blood to flow to the body.
  • Pulmonary stenosis. In tetralogy of Fallot, there is also a narrowing (stenosis) of the pulmonary valve between the lower right heart chamber and the pulmonary artery, which carries blood to the lungs. The narrow valve lets less blood flow through the pulmonary artery to the lungs.
  • Thickened right lower chamber of the heart. Because the pulmonary valve is narrowed, it is more difficult for blood to be pumped out of the lower right chamber of the heart. This makes the heart chamber thicker.

A baby who has tetralogy of Fallot needs surgery to repair the defects.

People who have had tetralogy of Fallot surgically repaired can usually do most normal activities. But competitive sports and strenuous exercise may need to be restricted. The person needs to be closely monitored by a doctor to detect and treat any problems right away.

Last Revised: September 6, 2013

Author: Healthwise Staff

Medical Review: John Pope, MD - Pediatrics & Larry A. Latson, MD - Pediatric Cardiology

This information does not replace the advice of a doctor. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

© 1995-2014 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.