A Fallot feat : When the shunted heart meets the obstructed abdomen

Abstract

Tetralogy of Fallot (TOF) remains the most prevalent cyanotic congenital heart disease, typically requiring early surgical correction to enable survival into adulthood. Despite successful repair, adult patients may still harbour residual structural or functional anomalies that significantly complicate anaesthetic management. Emergency non-cardiac procedures, introduce unique perioperative risks including abrupt hemodynamic instability, hypoxia, and arrhythmias.   The interplay between altered cardiovascular physiology and surgical stress mandates vigilant perioperative planning. A multidisciplinary, individualized anaesthetic approach is essential to mitigate complications and ensure hemodynamic stability in this high-risk population.