Aarushi Jain, Sarvjeet Kaur, Gagandeep, Nipun Saini, Rajvir Kaur
Tetralogy of fallot is the most common congenital heart disease with right to left shunt. Incidence is about 10% of all congenital heart diseases and has a dilated aorta which overrides the ventricular septal defect, right ventricular tract obstruction and right ventricular hypertrophy. Brain abscess is associated with 13-70% cases of tetralogy of fallot. We hereby present a case of 8 year boy presented to emergency with complaints of headache, vomiting, fever since 5 days and history of dyspnea on exertion (NYHA III). Patient was taken up for emergency surgery under general anaesthesia on double ionotroic support (dopamine and dobutamine @ 10ug/kg/min). Patient was Shited to paediatric ICU with ionotropic and ventilatory support.
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