Table 5

Cardiac phenotype in 230 patients with tetralogy of Fallot

AllNo genetic abnormalitydel 22q11.21 TBX1, 2 NKX2.5, 3 JAG1DownFurther chromosomal aberrationsPolymorphisms
N (%)230182 (79)17 (7.4)6 (2.6)12 (5.2)7 (3.0)6 (2.6)
Situs solitus230 (100)182 (100)17 (100)6 (100)12 (100)7 (100)6 (100)
LSVC22 (10)20 (11)1 (6)001 (14)0
PAPVC5 (2)4 (22)00000
PFO/ASD II185 (80)149 (82)13 (76)5 (83)8 (67)6 (86)4 (66)
ASD I5 (2)2 (1)003 (25)00
Sinus venosus ASD1 (0.4)100000
Malalignment VSD226(98)182 (88)17 (100)6 (100)9 (75)7 (100)5 (83)
AVSD4 (2)0003 (25)01 (17)
Additional VSDs20 (9)16 (9)01 TBX1 (17)1 (8)2 (29)0
Infundibulum
 Short111 (48)90 (49)6 (35)1 JAG1) (17)4 (33)4 (57)6 (100)
 Elongated71 (31)57 (31)5 (29)2 NKX2.5 (33)5 (42)2 (29)0
 ToF-type32 (14)27 (15)2 (12)3 (1 TBX1, 2 JAG1) (50)000
 Unknown19 (8)10 (5)4 (24)03 (25)1 (14)1 (17)
Pulmonary stenosis
 Predominantly valvular21 (9)16 (9)2 (12)1 JAG1 (17)1 (8)01 (17)
 Predominantly infundibular11 (5)11 (6)00000
 Combined182 (79)144 (79)12 (71)5 (83)10 (83)6 (86)4 (67)
 Unknown10 (4)7 (4)2 (12)001 (14)0
Juxtaductal coarctation/PA hypoplasia34 (15)20 (11)8 (47)2 (JAG1) (33)03 (43)1 (17)
Peripheral PA stenosis14 (6)9 (5)2 (12)2 (2 JAG1) (33)001 (17)
MAPCA
 Yes12 (5)9 (5)2 (12)0001 (17)
 No216 (94)173 (95)15 (88)6 (100)12 (100)7 (100)5 (83)
 Unknown2 (1)2 (1)00000
PDA
 Yes47 (20)36 (LAA17, RAA 18) (20)3 (LAA 1, RAA 2) (18)02 (LAA/RAA) (17)5 (71) (4 LAA)1 (17) (LAA)
 No21 (9)15 (8)2 (11)1 (17)2 (17)01 (17)
 Unknown165 (72)133 (58)12 (71)5 (83)9 (75)2 (29)4 (67)
Additional cardiac defects
 Absent PV10 (4)7 (4)1 (6)1 (TBX1) (17)001 (17)
 Origin of the aorta >50% from right ventricle14 (6)9 (5)2 (11)1 (NKX2.5) (17)02 (29)0
Coronary arteries
 Normal203 (88)158 (87)16 (94)6 (100)12 (100)5 (71)6 (199)
 Single5 (2)5 (3)00000
 Accessory13 (6)12 (7)1 (6)0000
 LAD from RCA9 (4)7 (4)0002 (29)0
 Unknown3 (1)000000
Long asc. aorta15 (7)12 (7)2 (12)01 (8)00
Aortic arch
 Left159 (69)126 (68)9 (53)5 (83)10 (83)5 (71)5 (83)
 Right71 (31)58 (32)8 (47)1 (JAG1) (17)1 (8)2 (29)1 (17)
Subclavian artery anomalies31 (13)17 (LAA 6, RAA 11) (9)9 (LAA 3, RAA 6) (53)1 (NKX2.5, LAA 1) (17)1 (LAA) (8)2 (29) (2 LAA)1 (17) LAA
 Aberrant24 (10)12 (7)6 (35)2 (33)1 (8)2 (17)1 (17)
 Isolation7 (all RAA) (3)5 (3)2 (12)0000
 Distal ductal origin0000000
 CORSA101 (6)0000
  • ASD, atrial septal defect; AVSD, atrioventricular septal defect; CORSA, cervical origin of the right subclavian artery; DORV, double outlet right ventricle; LAA, left aortic arch; LAD, left anterior descending coronary artery; LSVC, left superior vena cava; MAPCA, major aortopulmonary collateral arteries; PA, pulmonary artery; PAPVC, partial anomalous pulmonary venous connection; PDA, patent ductus arteriosus; PFO, persistent foramen ovale; RAA, right aortic arch; RCA, right coronary artery; SAA, subclavian artery anomaly; VSD, ventricular septal defect.