Uncorrected Tetralogy of Fallot with Pulmonary Atresia in an Asymptomatic 35 Year Old Nigerian Man

Tetralogy of Fallot is the commonest cyanotic congenital heart disease after the neonatal period, accounting for 10 - 26.2% of congenital heart diseases in Nigeria. Structural abnormalities found in tetralogy of fallot could explain associated adverse haemodynamic changes. It is imperative to document a case of an uncorrected tetralogy of Fallot with pulmonary atresia in a 35-year old Nigerian African man, considering the associated poor/high morbidity and mortality. Explanations for his longevity are left ventricular hypertrophy and systemic-pulmonary collateral circulation.