Arrhythmias in a long-term adult survivor with uncorrected tetralogy of Fallot: Case report and review of the literature

•We present an adult with uncorrected Tetralogy of Fallot and pulmonary atresia.•The case highlights rare longevity and electrical complications.•Review of the literature reveals lack of data for the management of this cohort.•We propose a registry to help to characterize this cohort in more detail.

We present a case of a middle-aged adult with uncorrected Tetralogy of Fallot (TOF) with pulmonary atresia who developed symptomatic supraventricular and ventricular arrhythmias. The lack of data regarding management of electrical and other complications in adults with uncorrected TOF is highlighted and emphasizes the need for a registry to better understand the medical management of long-standing adult survivors.