A case of three year child with uncorrected tetralogy of Fallot for drainage of fronto-parietal abscess

Abhimanyu Rana, Kishore Kumar Arora, Rashpal Singh Gill


The Tetralogy Fallot was one of the commonest Right to Left shunting disease in the children. TOF is most common in association with brain abscess (13-70%). This case is of a 3 year old child who had tetralogy of Fallot (uncorrected) and was to be taken for drainage of Fronto-Parietal sub dural abscess via Burr hole. The abscess was drained and patient was shifted with inotropes and ventilator support. In next 24 hours patient improved and supports were gradually withdrawn.


Arteriovenous malformations, External carotid artery, Pinna, Traumatic

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Wajekar AS, Shetty AN, Oak SP, Jain RA. Anaesthetic management for drainage of frontoparietal abscess in a patient of uncorrected Tetralogy of Fallot. IJA. 2015;9:244-6.

Raha A, Ganjoo P, Singh A, Tandon MS, Singh D. Surgery for brain abscess in children with cyanotic heart disease: An anesthetic challenge. J Pediatr Neurosci. 2012;7:23-6.

Miller’s Anaeshesia 7th edition: Anaesthesia for paediatric cardiac surgery. 2615-2616

Senzaki H, Ishido H, Iwamoto Y, Taketazu M, Kobayashi T, Katogi T, et al. Sedation of hypercyanotic spells in a neonate with tetralogy of Fallot using dexmedetomidine. J Pediatr (Rio J). 2008;84:377-80.

Child JS, Friedman WF. Congenital heart disease in the adult. In: Kasper DL, et al., editors. Harrison's Principles of Internal Medicine. 16th ed. New York: McGraw Hill Publishers. 2005:1389.