Perioperative anesthesia management of pediatric patients with congenital heart disease (CHD) coming for non-cardiac surgery is challenging. Tetralogy of Fallot (TOF) is a cyanotic CHD with the right to left shunt. The challenge for anesthesiologists in handling patients with CHD coming for non-cardiac surgery relies on the patient\'s age, the complexity of heart lesion, the patient\'s capacity to compensate, and the urgency of surgery. We report a case of uncorrected TOF posted for open reduction and internal fixation of left radius–ulna fracture.
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