Restrictive ventricular septal defect in a case of tetralogy of Fallot with situs inversus and dextrocardia - A case report

Tetralogy of Fallot is diagnosed in about 3.5% of patients who have congenital heart defects. In tetralogy of Fallot, ventricular septal defect is usually large because of malalignment of outlet septum. But the restrictive ventricular septal defect has been reported rarely & its association with dextrocardia and situs inversus is uncommon. We report all these findings in a 10-year-old boy and review the medical literature relevant to these combined conditions.