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Living with Tetralogy of Fallot

A heart defect present at birth that combines four heart differences and can lower oxygen levels in the blood.

Understanding Tetralogy of Fallot

Tetralogy of Fallot is a complex heart defect present at birth that combines four differences in how the heart is built.

The four features are a large hole between the lower heart chambers (ventricular septal defect), a narrowed valve and artery to the lungs (pulmonary stenosis), an aorta that sits over both lower chambers (overriding aorta), and a thicker than usual right ventricle muscle. The condition lowers oxygen in the blood and can cause a bluish-purple skin color (cyanosis). It may be found during pregnancy or after birth.

Signs & symptoms

Symptoms vary from person to person. GARD describes these features:

  • Bluish-purple skin color (cyanosis)
  • Low oxygen levels in the blood
  • Hole between the lower heart chambers
  • Narrowed valve and artery to the lungs
  • Aorta shifted over both lower chambers
  • Thicker muscle in the right lower chamber

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include heart and blood vessel specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Adult Congenital Heart Association may keep lists of experts for this condition.

Care & treatment

Care team
Heart and blood vessel specialists (cardiologists)
Expert care
Expert lists: Adult Congenital Heart Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Adult Congenital Heart Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
How severe is my child's heart defect, and what does it mean for care?
Which specialists, such as a pediatric cardiologist, should we see?
What signs of low oxygen should we watch for?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant

GARD says the cause of this condition is unknown.

Also known as: fallot's tetralogy; subpulmonic stenosis, ventricular septal defect, overriding aorta, and right ventricular hypertrophy; tetrology of fallot; tof; tof - tetralogy of fallot; ventricular septal defect with pulmonary stenosis or atresia, dextraposition of aorta, and hypertrophy of right ventricle

Patient organizations

Source: NIH GARD · Tetralogy of FallotGARD ID 2245 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Tetralogy of Fallot.

Explore the Tetralogy of Fallot blog

Explore research for Tetralogy of Fallot

Explore actively recruiting Tetralogy of Fallot studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Tetralogy of Fallot with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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