Anesthesia for a Patient with Uncorrected Tetralogy of Fallot undergoing a Gynecological Procedure: A Case Report

Patients with uncorrected Tetralogy of Fallot (ToF) that survive to middle age are very rare. It has been reported that around 10% of affected persons can survive to adulthood, and only 5% reach 40 years of age. Cardiovascular defects lead to compensatory mechanisms that pose various hemodynamic shifts, hence a challenge in administering anesthesia for this limited population undergoing any surgical procedure.