Clinical profile in three cases of Fallot’s tetralogy associat with costo-vertebral anomalies

Summary

Costo-vertebral anomalies in two females and one male associated with Fallot’s tetralogy are reported. Retardation of physical growth and persistance of cyanosis in the older children and frequent cyanotic spells and failure to thrive in the youngest child were the main presenting features. The diagnosis of Fallot’s tetralogy was based purely on the clinical signs, E.G.G. records and radiological features. In addition, the variable degree of spinal scoliosis, vertebral clefts and other congenital malformations of the ribs were recorded. The persistence of the right aortic arch in association with costo-vertebral anomalies and Fallot’s tetralogy in one of our cases was another interesting anomaly.