An extremely rare tetralogy of Fallot with absent pulmonary valve and unilateral absence of the pulmonary artery: a rare report of De Bucket Syndrome

Although TOF is a common cyanotic congenital heart disease, certain variants of TOF, such as TOF with APV and absent LPA, may present without the typical cyanotic or respiratory symptoms. Therefore, even the slightest additional heart murmur should be thoroughly investigated. While clinical examination, arterial oxygenation, and echocardiography are essential, definitive diagnosis and precise anatomical characterization ultimately require CT angiography.

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Publication Details

Journal
The Egyptian Heart Journal
Published
2026-01-09
DOI
https://doi.org/10.1186/s43044-025-00712-5
Primary Topic
Congenital Heart Disease Studies
Type
article
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article

An extremely rare tetralogy of Fallot with absent pulmonary valve and unilateral absence of the pulmonary artery: a rare report of De Bucket Syndrome

Seyed Salaheddin Nabavi, Mahmoud Ganjifard, Seyyed Ebrahim Hosseini Zargaz, Mohammad Mahdavi et al.
The Egyptian Heart Journal
Congenital Heart Disease Studies
article

An extremely rare tetralogy of Fallot with absent pulmonary valve and unilateral absence of the pulmonary artery: a rare report of De Bucket Syndrome

Seyed Salaheddin Nabavi, Mahmoud Ganjifard, Seyyed Ebrahim Hosseini Zargaz, Mohammad Mahdavi, Amirhossein Jalali, Mohammad Bakhtiari, Zahra Ansari Aval
article en

Abstract

Although TOF is a common cyanotic congenital heart disease, certain variants of TOF, such as TOF with APV and absent LPA, may present without the typical cyanotic or respiratory symptoms. Therefore, even the slightest additional heart murmur should be thoroughly investigated. While clinical examination, arterial oxygenation, and echocardiography are essential, definitive diagnosis and precise anatomical characterization ultimately require CT angiography.

The Egyptian Heart JournalVol. 78(1)
Ahvaz Jundishapur University of Medical Sciences (IR), Sirjan University of Technology (IR), Shaheed Rajaei Cardiovascular Medical and Research Center (IR), Birjand University of Medical Sciences (IR)
Good health and well-being
Openalex Percentile: Top 95%
Congenital Heart Disease Studies
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