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Tetralogy of fallot (TOF) is one of the commonest congenital anomalies. TOF is mostly diagnosed early in the life and to reach adulthood, such patients usually require some sort of surgical correction. Management of pregnancy in uncorrected TOF cases poses a significant challenge for obstetrician and team. Most of the time, it ends with significant fetomaternal morbidity or mortality. Here is a case of pregnancy with uncorrected TOF, which was successfully managed with multidisciplinary approach.

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